Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $11.75	Facility		$3.98	$3.98	$11.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $5.01 / $10.96	Professional		$2.40	$5.01	$10.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $5.25 / $5.62	Facility		$5.25	$5.25	$5.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $5.62	Professional		$4.47	$4.47	$5.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $10.23 / $18.20	Facility		$5.01	$10.23	$18.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $11.22 / $18.62	Professional		$5.25	$11.22	$18.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.76 / $64.57	Professional		$6.03	$6.76	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $8.51 / $8.71	Facility		$7.94	$8.51	$8.71
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $8.71 / $8.71	Professional		$7.59	$8.71	$8.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $7.59 / $14.13	Facility		$7.24	$7.59	$14.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $9.55	Professional		$7.24	$7.24	$9.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.59 / $9.77	Professional		$7.24	$7.59	$9.77
United Facility/Professional Facility Modifier Low / Median / High Price $0.06 / $3.39 / $4.47	Facility		$0.06	$3.39	$4.47
United Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.72 / $7.08	Professional		$3.39	$3.72	$7.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.59 / $13.49	Professional		$6.31	$7.59	$13.49