Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $8.13	Facility		$3.02	$3.02	$8.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $3.02 / $7.94	Professional		$1.66	$3.02	$7.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $4.37	Professional		$4.37	$4.37	$4.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $3.89	Facility		$3.63	$3.63	$3.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.09 / $3.89	Professional		$3.09	$3.09	$3.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $7.08 / $12.59	Facility		$3.63	$7.08	$12.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $7.94 / $12.88	Professional		$3.72	$7.94	$12.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.68 / $64.57	Professional		$4.17	$4.68	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $5.89 / $6.03	Facility		$5.50	$5.89	$6.03
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.03 / $6.03	Professional		$5.37	$6.03	$6.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.37 / $9.77	Facility		$5.01	$5.37	$9.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $6.61	Professional		$5.01	$5.01	$6.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.25 / $6.76	Professional		$5.01	$5.25	$6.76
United Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $2.34 / $2.75	Facility		$0.04	$2.34	$2.75
United Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.57 / $4.90	Professional		$2.34	$2.57	$4.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.25 / $9.33	Professional		$4.37	$5.25	$9.33