Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.35 / $543.96 / $877.12	Professional		$437.35	$543.96	$877.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $541.82 / $1,103.51 / $1,103.51	Professional		$541.82	$1,103.51	$1,103.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $271.50 / $377.45 / $552.12	Facility		$271.50	$377.45	$552.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $119.00 / $394.00	Professional		$89.00	$119.00	$394.00