Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $12.02	Facility		$5.01	$5.01	$12.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.98 / $6.03	Professional		$2.00	$3.98	$6.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $13.49 / $16.60	Facility		$7.76	$13.49	$16.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.49 / $17.38	Professional		$8.91	$13.49	$17.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $11.22 / $30.20	Professional		$10.23	$11.22	$30.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $12.02 / $12.02	Facility		$10.00	$12.02	$12.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $8.32	Facility		$8.13	$8.13	$8.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.75 / $17.38	Professional		$8.32	$11.75	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $3.89 / $6.46	Professional		$2.57	$3.89	$6.46