Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $1.38 / $1.38	Facility		$1.38	$1.38	$1.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.09 / $4.47	Professional		$1.00	$2.09	$4.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.62 / $0.62 / $0.76	Facility		$0.62	$0.62	$0.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $0.52 / $0.72	Professional		$0.52	$0.52	$0.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.37 / $1.02 / $2.04	Facility		$0.37	$1.02	$2.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $1.00 / $2.04	Professional		$0.38	$1.00	$2.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.79 / $1.00 / $1.02	Facility		$0.79	$1.00	$1.02
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $0.87 / $1.02 / $1.02	Professional		$0.87	$1.02	$1.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.85 / $0.89 / $1.66	Facility		$0.85	$0.89	$1.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $0.85 / $1.00	Professional		$0.85	$0.85	$1.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.87 / $0.87 / $1.12	Professional		$0.87	$0.87	$1.12
United Facility/Professional Facility Modifier Low / Median / High Price $0.40 / $0.56 / $0.72	Facility		$0.40	$0.56	$0.72
United Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.43 / $0.81	Professional		$0.34	$0.43	$0.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $0.87 / $1.55	Professional		$0.72	$0.87	$1.55