Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.05	Professional		$1.00	$1.00	$1.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.06 / $0.06	Professional		$0.06	$0.06	$0.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.41 / $0.65 / $0.87	Facility		$0.41	$0.65	$0.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.41 / $0.68 / $0.87	Professional		$0.41	$0.68	$0.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $60.26 / $75.86	Professional		$30.20	$60.26	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.13 / $0.62 / $0.68	Facility		$0.13	$0.62	$0.68
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $0.13 / $0.13 / $0.13	Professional		$0.13	$0.13	$0.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.09 / $0.13	Facility		$0.09	$0.09	$0.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.10	Professional		$0.09	$0.09	$0.10
United Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.06 / $0.12	Professional		$0.05	$0.06	$0.12