Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $245.47 / $512.86	Facility		$141.25	$245.47	$512.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $89.13 / $100.00	Facility		$56.23	$89.13	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $199.53 / $524.81	Facility		$75.86	$199.53	$524.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $42.66 / $302.00	Facility		$23.44	$42.66	$302.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $186.21 / $524.81	Facility		$75.86	$186.21	$524.81