Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,819.70 / $2,344.23	Professional		$870.96	$1,819.70	$2,344.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $977.24 / $3,235.94	Facility		$478.63	$977.24	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $758.58 / $2,454.71	Professional		$436.52	$758.58	$2,454.71
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 $645.65 / $891.25 / $912.01	Facility		$645.65	$891.25	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $602.56 / $758.58	Professional		$331.13	$602.56	$758.58