Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $12.30	Facility		$5.01	$5.01	$12.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $5.01 / $12.02	Professional		$2.51	$5.01	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $5.50 / $5.75	Facility		$5.50	$5.50	$5.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $4.68 / $5.89	Professional		$4.68	$4.68	$5.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $10.72 / $19.05	Facility		$5.50	$10.72	$19.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $11.48 / $19.50	Professional		$5.50	$11.48	$19.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.92 / $64.57	Professional		$6.31	$6.92	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.91 / $9.12	Facility		$8.13	$8.91	$9.12
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.12 / $9.12	Professional		$7.94	$9.12	$9.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $7.94 / $14.79	Facility		$7.59	$7.94	$14.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $10.00	Professional		$7.59	$7.59	$10.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.94 / $10.23	Professional		$7.59	$7.94	$10.23
United Facility/Professional Facility Modifier Low / Median / High Price $0.06 / $3.55 / $4.17	Facility		$0.06	$3.55	$4.17
United Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $3.89 / $7.41	Professional		$3.55	$3.89	$7.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.94 / $13.80	Professional		$6.46	$7.94	$13.80