Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,692.04 / $1,692.04 / $2,027.25	Professional		$1,692.04	$1,692.04	$2,027.25
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 $622.58 / $819.65 / $866.09	Facility		$622.58	$819.65	$866.09