Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $2,041.74	Professional		$1,698.24	$1,698.24	$2,041.74
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 $616.60 / $812.83 / $851.14	Facility		$616.60	$812.83	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $416.87 / $630.96	Professional		$380.19	$416.87	$630.96