Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $123.03 / $48,977.88	Facility		$64.57	$123.03	$48,977.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $64.57 / $45,708.82	Professional		$58.88	$64.57	$45,708.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $60.26 / $117.49	Facility		$56.23	$60.26	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $72.44	Professional		$60.26	$60.26	$72.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $66.07 / $151.36	Facility		$60.26	$66.07	$151.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $64.57 / $131.83	Professional		$60.26	$64.57	$131.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $66.07 / $81.28	Professional		$60.26	$66.07	$81.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $66.07 / $114.82	Facility		$60.26	$66.07	$114.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $58.88 / $134.90	Facility		$51.29	$58.88	$134.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $74.13	Professional		$61.66	$61.66	$74.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $70.79 / $173.78	Facility		$50.12	$70.79	$173.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $66.07 / $74.13	Professional		$60.26	$66.07	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $67.61	Professional		$60.26	$60.26	$67.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $60.26 / $77.62	Professional		$57.54	$60.26	$77.62