Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,286.38 / $1,286.38 / $1,541.23	Professional		$1,286.38	$1,286.38	$1,541.23
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 $458.34 / $612.95 / $652.74	Facility		$458.34	$612.95	$652.74