Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $4,265.80	Professional		$3,548.13	$3,548.13	$4,265.80
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 $1,348.96 / $1,737.80 / $1,905.46	Facility		$1,348.96	$1,737.80	$1,905.46