Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $2,290.87	Professional		$173.78	$208.93	$2,290.87
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 $93.33 / $794.33 / $933.25	Facility		$93.33	$794.33	$933.25