Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $9.55	Facility		$3.98	$3.98	$9.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.98 / $8.91	Professional		$2.00	$3.98	$8.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $4.57	Facility		$4.27	$4.27	$4.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $4.57	Professional		$3.63	$3.63	$4.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $9.12 / $15.49	Facility		$4.07	$9.12	$15.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $9.33 / $15.14	Professional		$4.37	$9.33	$15.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $5.50 / $64.57	Professional		$4.90	$5.50	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $6.92 / $7.08	Facility		$6.46	$6.92	$7.08
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.08 / $7.08	Professional		$6.17	$7.08	$7.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $6.17 / $11.48	Facility		$5.89	$6.17	$11.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $7.76	Professional		$5.89	$5.89	$7.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $6.17 / $7.94	Professional		$5.89	$6.17	$7.94
United Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $2.75 / $3.47	Facility		$0.05	$2.75	$3.47
United Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.02 / $5.75	Professional		$2.75	$3.02	$5.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.17 / $10.96	Professional		$5.13	$6.17	$10.96