Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,750.00 / $2,750.00 / $2,750.00	Facility		$2,750.00	$2,750.00	$2,750.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $82.20 / $93.00 / $381.00	Facility		$82.20	$93.00	$381.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,315.00 / $6,763.00 / $14,971.00	Facility		$2,315.00	$6,763.00	$14,971.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $2,587.17 / $22,789.40 / $113,583.72	Facility		$2,587.17	$22,789.40	$113,583.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $195.00 / $315.00	Facility		$118.50	$195.00	$315.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,315.00 / $6,763.00 / $14,971.00	Facility		$2,315.00	$6,763.00	$14,971.00