Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.24 / $383.69 / $461.97	Professional		$320.24	$383.69	$461.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.23 / $362.22 / $525.00	Professional		$175.23	$362.22	$525.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.51 / $143.58 / $220.00	Facility		$109.51	$143.58	$220.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $145.00 / $173.00	Professional		$122.00	$145.00	$173.00