Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $15.49 / $50.12	Facility		$1.00	$15.49	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $2.34	Professional		$1.00	$1.00	$2.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.89 / $0.89 / $0.89	Professional		$0.89	$0.89	$0.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.91 / $2.00 / $3.55	Facility		$0.91	$2.00	$3.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.93 / $2.09 / $3.63	Professional		$0.93	$2.09	$3.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.48 / $64.57	Professional		$1.23	$1.48	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $1.70 / $1.74	Facility		$1.41	$1.70	$1.74
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.74 / $1.82	Professional		$1.58	$1.74	$1.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.45 / $1.55 / $3.31	Facility		$1.45	$1.55	$3.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $1.45 / $1.70	Professional		$1.45	$1.45	$1.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.51 / $1.95	Professional		$1.51	$1.51	$1.95
United Facility/Professional Professional Modifier Low / Median / High Price $0.58 / $0.76 / $1.41	Professional		$0.58	$0.76	$1.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.51 / $2.69	Professional		$1.51	$1.51	$2.69