Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $501.19	Professional		$416.87	$416.87	$501.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $177.83	Professional		$169.82	$169.82	$177.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,089.30 / $2,884.03	Facility		$1,047.13	$2,089.30	$2,884.03