Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,757.90 / $2,757.90 / $3,304.27	Professional		$2,757.90	$2,757.90	$3,304.27
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 $1,033.92 / $1,361.75 / $1,461.32	Facility		$1,033.92	$1,361.75	$1,461.32