Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $1.58	Professional		$1.58	$1.58	$1.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.27 / $0.27	Professional		$0.27	$0.27	$0.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.41 / $0.68 / $0.89	Facility		$0.41	$0.68	$0.89
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 $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.55 / $0.62 / $0.68	Facility		$0.55	$0.62	$0.68
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
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