Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $4,168.69	Professional		$3,467.37	$3,467.37	$4,168.69
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 $1,318.26 / $1,737.80 / $1,819.70	Facility		$1,318.26	$1,737.80	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,288.25	Professional		$660.69	$870.96	$1,288.25