Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $93.33 / $123.03	Professional		$64.57	$93.33	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $186.21	Professional		$154.88	$154.88	$186.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $269.15 / $363.08	Facility		$144.54	$269.15	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $281.84 / $363.08	Professional		$165.96	$281.84	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $44.67 / $60.26	Professional		$30.20	$44.67	$60.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $229.09 / $323.59	Professional		$162.18	$229.09	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $154.88 / $154.88	Professional		$79.43	$154.88	$154.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $154.88 / $257.04	Professional		$134.90	$154.88	$257.04