Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,990.00 / $4,990.00 / $4,990.00	Facility		$4,990.00	$4,990.00	$4,990.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $82.20 / $93.00 / $1,697.00	Facility		$82.20	$93.00	$1,697.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $3,137.00 / $10,449.00	Facility		$1,106.00	$3,137.00	$10,449.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $8,863.61 / $23,625.74 / $87,459.25	Facility		$8,863.61	$23,625.74	$87,459.25
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 $1,106.00 / $2,958.00 / $10,273.00	Facility		$1,106.00	$2,958.00	$10,273.00