Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $43.65 / $3,801.89	Professional		$12.30	$43.65	$3,801.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $6,025.60 / $6,025.60	Professional		$4,570.88	$6,025.60	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $218.78	Facility		$30.90	$30.90	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Professional		$16.60	$16.60	$16.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $630.96 / $831.76	Professional		$128.82	$630.96	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $1,174.90 / $1,258.93	Facility		$54.95	$1,174.90	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $218.78	Facility		$30.90	$30.90	$218.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $4.17	Professional		$4.17	$4.17	$4.17
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $39.81 / $60.26	Professional		$34.67	$39.81	$60.26