Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Facility		$450.00	$450.00	$450.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Professional		$450.00	$450.00	$450.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $377.50 / $1,472.41	Facility		$92.60	$377.50	$1,472.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $450.00 / $1,125.23	Professional		$315.00	$450.00	$1,125.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.73 / $371.73 / $371.73	Professional		$371.73	$371.73	$371.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $423.23 / $545.40 / $1,065.68	Professional		$423.23	$545.40	$1,065.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $793.40 / $2,384.42 / $2,384.42	Facility		$793.40	$2,384.42	$2,384.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $472.50 / $643.50 / $928.34	Facility		$472.50	$643.50	$928.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $371.73 / $470.25 / $493.65	Professional		$371.73	$470.25	$493.65
United Facility/Professional Professional Modifier Low / Median / High Price $373.81 / $587.17 / $1,490.74	Professional		$373.81	$587.17	$1,490.74