Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,589.94 / $1,589.94 / $1,904.93	Professional		$1,589.94	$1,589.94	$1,904.93
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 $582.12 / $768.95 / $824.84	Facility		$582.12	$768.95	$824.84