Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,873.60 / $2,873.60 / $3,442.90	Professional		$2,873.60	$2,873.60	$3,442.90
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 $1,076.56 / $1,410.71 / $1,510.96	Facility		$1,076.56	$1,410.71	$1,510.96