Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $4,897.79 / $6,165.95	Professional		$2,290.87	$4,897.79	$6,165.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,691.53 / $9,120.11	Facility		$1,348.96	$2,691.53	$9,120.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,995.26 / $6,606.93	Professional		$1,174.90	$1,995.26	$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 $1,737.80 / $2,290.87 / $2,570.40	Facility		$1,737.80	$2,290.87	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,659.59 / $2,041.74	Professional		$912.01	$1,659.59	$2,041.74