Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $239.88 / $512.86	Professional		$199.53	$239.88	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $186.21 / $199.53	Professional		$158.49	$186.21	$199.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $120.23 / $213.80	Facility		$56.23	$120.23	$213.80