Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.62 / $588.62 / $588.62	Facility		$588.62	$588.62	$588.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.62 / $588.62 / $588.62	Professional		$588.62	$588.62	$588.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $87.20 / $100.00 / $1,450.57	Facility		$87.20	$100.00	$1,450.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $781.33 / $781.33 / $781.33	Professional		$781.33	$781.33	$781.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $638.07 / $801.00	Professional		$129.00	$638.07	$801.00
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 $70.00 / $85.00 / $85.00	Professional		$70.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.62 / $588.62 / $1,646.03	Facility		$588.62	$588.62	$1,646.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $781.33 / $781.33 / $781.33	Professional		$781.33	$781.33	$781.33