Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $4.68	Facility		$1.00	$1.00	$4.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $3.98	Professional		$1.00	$2.00	$3.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.51 / $3.47	Professional		$2.45	$2.51	$3.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $2.09 / $2.57	Facility		$2.09	$2.09	$2.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $1.78 / $2.57	Professional		$1.78	$1.78	$2.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $4.37 / $7.24	Facility		$2.19	$4.37	$7.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $4.57 / $7.08	Professional		$2.29	$4.57	$7.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $32.36 / $64.57	Professional		$3.02	$32.36	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $3.39 / $3.47	Facility		$2.75	$3.39	$3.47
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.47 / $3.47	Professional		$3.02	$3.47	$3.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $3.02 / $5.62	Facility		$2.88	$3.02	$5.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $2.88 / $3.80	Professional		$2.88	$2.88	$3.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $3.02 / $3.89	Professional		$2.88	$3.02	$3.89
United Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $1.95 / $2.45	Facility		$1.35	$1.95	$2.45
United Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.58 / $2.82	Professional		$1.35	$1.58	$2.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $3.02 / $5.37	Professional		$2.51	$3.02	$5.37