Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $977.24 / $1,230.27	Professional		$457.09	$977.24	$1,230.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $398.11 / $707.95	Facility		$263.03	$398.11	$707.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $380.19 / $645.65	Professional		$239.88	$380.19	$645.65
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 $380.19 / $501.19 / $524.81	Facility		$380.19	$501.19	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $338.84 / $407.38	Professional		$181.97	$338.84	$407.38