Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $5.89	Facility		$2.00	$2.00	$5.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $5.01	Professional		$1.00	$2.00	$5.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $2.69 / $3.31	Facility		$2.69	$2.69	$3.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $3.31	Professional		$2.29	$2.29	$3.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $5.75 / $9.55	Facility		$4.27	$5.75	$9.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $6.17 / $9.55	Professional		$4.27	$6.17	$9.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.39 / $64.57	Professional		$3.02	$3.39	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $3.98 / $4.47	Facility		$3.72	$3.98	$4.47
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.17 / $4.47	Professional		$3.80	$4.17	$4.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.80 / $7.08	Facility		$3.63	$3.80	$7.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $4.79	Professional		$3.63	$3.63	$4.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.80 / $4.90	Professional		$3.63	$3.80	$4.90
United Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $1.70 / $2.04	Facility		$0.03	$1.70	$2.04
United Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.91 / $3.63	Professional		$1.74	$1.91	$3.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.80 / $6.76	Professional		$3.16	$3.80	$6.76