Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $69.59 / $6,240.00	Professional		$4.80	$69.59	$6,240.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,468.96 / $4,571.32 / $6,011.88	Professional		$2,468.96	$4,571.32	$6,011.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.66 / $30.66 / $219.16	Facility		$30.66	$30.66	$219.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.77 / $16.77 / $16.77	Professional		$16.77	$16.77	$16.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $638.07 / $801.00	Professional		$638.07	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $1,181.45	Facility		$100.00	$100.00	$1,181.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.66 / $30.66 / $219.16	Facility		$30.66	$30.66	$219.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.77 / $16.77 / $16.77	Professional		$16.77	$16.77	$16.77