Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $102.33 / $102.33	Facility		$61.66	$102.33	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $79.43 / $102.33	Professional		$63.10	$79.43	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $63.10	Professional		$50.12	$54.95	$63.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $50.12 / $69.18	Facility		$37.15	$50.12	$69.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $50.12 / $64.57	Professional		$37.15	$50.12	$64.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $100.00	Professional		$75.86	$75.86	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $67.61 / $114.82	Professional		$44.67	$67.61	$114.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29