Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,174.90	Professional		$977.24	$977.24	$1,174.90
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 $380.19 / $501.19 / $524.81	Facility		$380.19	$501.19	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $263.03 / $371.54	Professional		$223.87	$263.03	$371.54