Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $123.03 / $147.91	Professional		$114.82	$123.03	$147.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $138.04 / $138.04	Professional		$112.20	$138.04	$138.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $117.49 / $169.82	Facility		$85.11	$117.49	$169.82