Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $1.35 / $1.35	Facility		$1.35	$1.35	$1.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.35 / $2.04	Professional		$1.29	$1.35	$2.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $0.79 / $0.79	Professional		$0.79	$0.79	$0.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.81 / $1.35 / $1.78	Facility		$0.81	$1.35	$1.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $1.35 / $1.78	Professional		$0.81	$1.35	$1.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $75.86	Professional		$50.12	$50.12	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $1.29 / $1.35	Facility		$1.10	$1.29	$1.35
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.29 / $1.29	Professional		$1.29	$1.29	$1.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.91 / $0.91 / $0.91	Facility		$0.91	$0.91	$0.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.91 / $1.32 / $1.95	Professional		$0.91	$1.32	$1.95
United Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.43 / $0.72	Professional		$0.28	$0.43	$0.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.37 / $0.37 / $0.66	Professional		$0.37	$0.37	$0.66