Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $3,162.28 / $3,981.07	Professional		$1,479.11	$3,162.28	$3,981.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,698.24 / $9,120.11	Facility		$912.01	$1,698.24	$9,120.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,288.25 / $6,606.93	Professional		$758.58	$1,288.25	$6,606.93
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 $1,174.90 / $1,479.11 / $1,621.81	Facility		$1,174.90	$1,479.11	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,071.52 / $1,318.26	Professional		$575.44	$1,071.52	$1,318.26