Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,873.00 / $2,122.00 / $5,856.00	Facility		$1,873.00	$2,122.00	$5,856.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.00 / $88.70 / $100.00	Facility		$67.00	$88.70	$100.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $205.00 / $315.00	Facility		$135.00	$205.00	$315.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,002.00 / $5,000.00 / $5,000.00	Facility		$4,002.00	$5,000.00	$5,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,144.00 / $1,747.00 / $1,747.00	Facility		$1,144.00	$1,747.00	$1,747.00