Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $77.62 / $123.03	Professional		$54.95	$77.62	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $245.47	Professional		$95.50	$151.36	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $165.96 / $245.47	Professional		$93.33	$165.96	$245.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $134.90 / $208.93	Professional		$91.20	$134.90	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.83 / $251.19	Professional		$89.13	$131.83	$251.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $117.49 / $194.98	Professional		$102.33	$117.49	$194.98