Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $416.87 / $1,584.89	Facility		$36.31	$416.87	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $81.28	Professional		$36.31	$36.31	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $251.19 / $398.11	Facility		$85.11	$251.19	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $57.54 / $102.33	Professional		$47.86	$57.54	$102.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $204.17 / $204.17	Facility		$79.43	$204.17	$204.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $239.88 / $457.09	Facility		$181.97	$239.88	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $316.23 / $575.44	Facility		$239.88	$316.23	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $79.43 / $102.33	Professional		$33.11	$79.43	$102.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $144.54	Professional		$36.31	$36.31	$144.54