Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,187.76	Professional		$1,819.70	$1,819.70	$2,187.76
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 $660.69 / $870.96 / $912.01	Facility		$660.69	$870.96	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $457.09 / $676.08	Professional		$398.11	$457.09	$676.08