Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.30 / $87.50 / $122.00	Facility		$61.30	$87.50	$122.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $244.00	Facility		$35.00	$35.00	$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 $1,030.00 / $1,030.00 / $1,030.00	Facility		$1,030.00	$1,030.00	$1,030.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $244.00	Facility		$35.00	$35.00	$244.00