Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $89.13 / $100.00	Facility		$44.67	$89.13	$100.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $77,624.71 / $91,201.08	Facility		$5,495.41	$77,624.71	$91,201.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $194.98 / $316.23	Facility		$117.49	$194.98	$316.23