Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Facility		$10.96	$10.96	$10.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $19.05 / $77.62	Professional		$10.96	$19.05	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Professional		$11.48	$11.48	$11.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $19.50 / $32.36	Facility		$13.18	$19.50	$32.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $19.05 / $31.62	Professional		$13.18	$19.05	$31.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $79.43	Professional		$50.12	$50.12	$79.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $27.54 / $28.18	Facility		$22.91	$27.54	$28.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $21.88 / $38.02	Professional		$19.05	$21.88	$38.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.99 / $35.48	Professional		$16.98	$23.99	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $21.38 / $37.15	Professional		$14.13	$21.38	$37.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $144.54	Professional		$75.86	$75.86	$144.54