Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.27 / $39.27 / $47.05	Professional		$39.27	$39.27	$47.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.86 / $101.86 / $101.86	Professional		$101.86	$101.86	$101.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.07 / $37.42 / $57.59	Facility		$28.07	$37.42	$57.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $25.00 / $39.00	Professional		$12.00	$25.00	$39.00