Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $12.02	Facility		$5.01	$5.01	$12.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $5.01 / $21.88	Professional		$2.63	$5.01	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $5.62 / $5.62	Facility		$3.98	$5.62	$5.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $4.68 / $5.62	Professional		$4.68	$4.68	$5.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $13.18 / $20.42	Facility		$8.71	$13.18	$20.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $13.18 / $19.95	Professional		$8.71	$13.18	$19.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.92 / $64.57	Professional		$6.17	$6.92	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $7.94 / $8.91	Facility		$6.46	$7.94	$8.91
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.13 / $9.12	Professional		$7.08	$8.13	$9.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $7.94 / $14.45	Facility		$7.41	$7.94	$14.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $9.77	Professional		$7.41	$7.41	$9.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.76 / $9.12	Professional		$7.41	$7.76	$9.12
United Facility/Professional Facility Modifier Low / Median / High Price $0.06 / $3.55 / $4.27	Facility		$0.06	$3.55	$4.27
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.27 / $7.59	Professional		$3.63	$4.27	$7.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.76 / $13.80	Professional		$6.46	$7.76	$13.80