Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $4,650.00 / $8,475.00	Facility		$420.00	$4,650.00	$8,475.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $78.90 / $100.00 / $8,879.00	Facility		$78.90	$100.00	$8,879.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,524.00 / $5,610.00 / $10,096.00	Facility		$1,524.00	$5,610.00	$10,096.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $141.00 / $300.00 / $19,479.00	Facility		$141.00	$300.00	$19,479.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,002.00 / $10,000.00 / $10,000.00	Facility		$4,002.00	$10,000.00	$10,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,524.00 / $5,610.00 / $14,957.00	Facility		$1,524.00	$5,610.00	$14,957.00
United Facility/Professional Facility Modifier Low / Median / High Price $880.00 / $1,814.00 / $3,740.00	Facility		$880.00	$1,814.00	$3,740.00