Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $1,288.25	Professional		$891.25	$1,071.52	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $467.74	Professional		$331.13	$331.13	$467.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $398.11 / $446.68	Professional		$354.81	$398.11	$446.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $380.19 / $602.56	Facility		$281.84	$380.19	$602.56