Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $3,467.37 / $4,365.16	Professional		$1,621.81	$3,467.37	$4,365.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,862.09 / $3,235.94	Facility		$954.99	$1,862.09	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,445.44 / $2,754.23	Professional		$831.76	$1,445.44	$2,754.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $79.43	Professional		$60.26	$70.79	$79.43
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 $630.96 / $1,174.90 / $1,445.44	Professional		$630.96	$1,174.90	$1,445.44