Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $33.79 / $33.79	Professional		$25.47	$33.79	$33.79
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $57.01 / $64.45	Professional		$39.90	$57.01	$64.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.19 / $155.19 / $155.19	Professional		$155.19	$155.19	$155.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.00 / $155.00 / $155.00	Professional		$155.00	$155.00	$155.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $100.00 / $100.00	Facility		$65.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.47 / $33.79 / $43.54	Facility		$25.47	$33.79	$43.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $155.19 / $155.19 / $155.19	Professional		$155.19	$155.19	$155.19