Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $87.10 / $380.19	Facility		$28.18	$87.10	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $25.70 / $74.13	Professional		$1.51	$25.70	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $0.21 / $0.44	Facility		$0.21	$0.21	$0.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.22 / $0.27	Professional		$0.22	$0.22	$0.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $0.42 / $0.78	Facility		$0.22	$0.42	$0.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.41 / $0.76	Professional		$0.22	$0.41	$0.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $0.28 / $0.45	Facility		$0.21	$0.28	$0.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.55 / $0.55 / $0.55	Facility		$0.55	$0.55	$0.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.55 / $0.55 / $0.55	Professional		$0.55	$0.55	$0.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $0.22 / $0.22	Facility		$0.22	$0.22	$0.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.22 / $0.22	Professional		$0.22	$0.22	$0.22
United Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $0.22 / $0.22	Facility		$0.22	$0.22	$0.22
United Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.22 / $0.22	Professional		$0.22	$0.22	$0.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.22 / $0.28	Professional		$0.22	$0.22	$0.28