Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.80 / $413.80 / $495.78	Professional		$413.80	$413.80	$495.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $178.00	Professional		$170.00	$170.00	$178.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,035.99 / $2,160.98 / $2,901.90	Facility		$1,035.99	$2,160.98	$2,901.90