Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,896.42 / $4,896.42 / $5,866.47	Professional		$4,896.42	$4,896.42	$5,866.47
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 $1,720.88 / $2,305.87 / $2,562.08	Facility		$1,720.88	$2,305.87	$2,562.08