Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,698.24 / $2,137.96	Professional		$794.33	$1,698.24	$2,137.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $912.01 / $3,235.94	Facility		$446.68	$912.01	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $691.83 / $2,454.71	Professional		$398.11	$691.83	$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 $616.60 / $812.83 / $851.14	Facility		$616.60	$812.83	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $549.54 / $691.83	Professional		$302.00	$549.54	$691.83