Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $5.25	Facility		$2.00	$2.00	$5.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $5.01	Professional		$1.00	$2.00	$5.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $2.34 / $2.51	Facility		$2.34	$2.34	$2.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.51	Professional		$2.00	$2.00	$2.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $4.57 / $7.94	Facility		$2.29	$4.57	$7.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $4.90 / $8.13	Professional		$2.29	$4.90	$8.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.95 / $64.57	Professional		$2.69	$2.95	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $3.80 / $3.89	Facility		$3.47	$3.80	$3.89
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.89 / $3.89	Professional		$3.39	$3.89	$3.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $3.39 / $6.31	Facility		$3.24	$3.39	$6.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.24 / $4.27	Professional		$3.24	$3.24	$4.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.39 / $4.37	Professional		$3.24	$3.39	$4.37
United Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $1.51 / $1.78	Facility		$0.03	$1.51	$1.78
United Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.66 / $3.16	Professional		$1.51	$1.66	$3.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.39 / $6.03	Professional		$2.82	$3.39	$6.03