Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $25.70 / $32.36	Professional		$14.13	$25.70	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $52.48 / $57.54	Professional		$45.71	$52.48	$57.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $44.67 / $75.86	Professional		$32.36	$44.67	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $54.95 / $67.61	Facility		$39.81	$54.95	$67.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $45.71	Facility		$41.69	$41.69	$45.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $64.57 / $104.71	Professional		$41.69	$64.57	$104.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $57.54 / $85.11	Professional		$30.90	$57.54	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $19.95 / $56.23	Professional		$2.95	$19.95	$56.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02