Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.90 / $84.40 / $120.00	Facility		$48.90	$84.40	$120.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $560.00 / $603.00	Facility		$35.00	$560.00	$603.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $229.25 / $229.25 / $229.25	Facility		$229.25	$229.25	$229.25
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 $35.00 / $579.00 / $631.00	Facility		$35.00	$579.00	$631.00