Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $56.23 / $72.44	Facility		$44.67	$56.23	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $630.96 / $660.69	Facility		$34.67	$630.96	$660.69
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $199.53	Facility		$151.36	$151.36	$199.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $194.98 / $316.23	Facility		$117.49	$194.98	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $630.96 / $660.69	Facility		$34.67	$630.96	$660.69