Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $6.31	Facility		$2.00	$2.00	$6.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.09 / $6.03	Professional		$1.00	$2.09	$6.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $2.82 / $2.95	Facility		$2.82	$2.82	$2.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $3.02	Professional		$2.40	$2.40	$3.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $5.50 / $9.55	Facility		$2.75	$5.50	$9.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $6.03 / $9.77	Professional		$2.82	$6.03	$9.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.55 / $64.57	Professional		$3.24	$3.55	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.57 / $4.68	Facility		$4.17	$4.57	$4.68
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.68 / $4.68	Professional		$4.07	$4.68	$4.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $4.07 / $7.59	Facility		$3.89	$4.07	$7.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $5.13	Professional		$3.89	$3.89	$5.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.07 / $5.25	Professional		$3.89	$4.07	$5.25
United Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $1.82 / $2.14	Facility		$0.03	$1.82	$2.14
United Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.00 / $3.80	Professional		$1.82	$2.00	$3.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.07 / $7.24	Professional		$3.39	$4.07	$7.24