Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $4.90	Facility		$2.00	$2.00	$4.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $3.98	Professional		$1.00	$2.00	$3.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $2.19 / $2.29	Facility		$2.19	$2.19	$2.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $1.86 / $2.29	Professional		$1.86	$1.86	$2.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $4.27 / $7.24	Facility		$2.29	$4.27	$7.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $4.57 / $7.59	Professional		$2.29	$4.57	$7.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $2.75 / $64.57	Professional		$2.51	$2.75	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $3.55 / $3.63	Facility		$3.24	$3.55	$3.63
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.63 / $3.63	Professional		$3.16	$3.63	$3.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.16 / $5.89	Facility		$3.02	$3.16	$5.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.98	Professional		$3.02	$3.02	$3.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.16 / $4.07	Professional		$2.95	$3.16	$4.07
United Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $1.38 / $1.74	Facility		$0.02	$1.38	$1.74
United Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.55 / $2.95	Professional		$1.41	$1.55	$2.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $3.16 / $5.50	Professional		$2.57	$3.16	$5.50