Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $21,877.62	Facility		$14.13	$14.13	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $144.54	Professional		$14.13	$14.13	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $263.03 / $416.87	Facility		$89.13	$263.03	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $75.86	Professional		$64.57	$64.57	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $194.98 / $194.98	Facility		$75.86	$194.98	$194.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $229.09 / $436.52	Facility		$173.78	$229.09	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $323.59 / $588.84	Facility		$239.88	$323.59	$588.84