Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.00 / $173.00 / $182.00	Facility		$164.00	$173.00	$182.00
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 $110.00 / $110.00 / $244.00	Facility		$110.00	$110.00	$244.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $195.00 / $315.00	Facility		$118.50	$195.00	$315.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,308.00 / $1,308.00 / $1,308.00	Facility		$1,308.00	$1,308.00	$1,308.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $244.00	Facility		$110.00	$110.00	$244.00