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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.43 / $0.71 / $0.89	Facility		$0.43	$0.71	$0.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.43 / $0.71 / $0.85	Professional		$0.43	$0.71	$0.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $33.11 / $64.57	Professional		$1.70	$33.11	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.55 / $0.66 / $0.76	Facility		$0.55	$0.66	$0.76
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $0.76 / $0.76	Professional		$0.76	$0.76	$0.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.45 / $0.45 / $0.46	Facility		$0.45	$0.45	$0.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.46 / $0.65 / $0.98	Professional		$0.46	$0.65	$0.98
United Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.22 / $0.36	Professional		$0.14	$0.22	$0.36