Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.24 / $208.76 / $2,309.40	Professional		$174.24	$208.76	$2,309.40
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 $81.51 / $784.32 / $931.30	Facility		$81.51	$784.32	$931.30