Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $154.88 / $194.98	Professional		$134.90	$154.88	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $331.13	Professional		$151.36	$199.53	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $346.74 / $501.19	Professional		$239.88	$346.74	$501.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $295.12 / $436.52	Professional		$223.87	$295.12	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $269.15 / $478.63	Professional		$186.21	$269.15	$478.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $199.53 / $354.81	Professional		$186.21	$199.53	$354.81