Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $562.34 / $3,388.44	Facility		$263.03	$562.34	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $407.38 / $426.58	Professional		$281.84	$407.38	$426.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $724.44 / $1,230.27	Facility		$218.78	$724.44	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $7.59	Professional		$7.59	$7.59	$7.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $75.86 / $100.00	Professional		$50.12	$75.86	$100.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $588.84 / $588.84	Facility		$229.09	$588.84	$588.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $691.83 / $1,318.26	Facility		$501.19	$691.83	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $707.95 / $1,258.93	Facility		$524.81	$707.95	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $128.82 / $173.78	Professional		$56.23	$128.82	$173.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $251.19	Professional		$63.10	$63.10	$251.19