Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $76.50 / $100.00	Professional		$15.00	$76.50	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $101.00 / $101.00	Professional		$101.00	$101.00	$101.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.25 / $194.25 / $194.25	Professional		$194.25	$194.25	$194.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $57.00 / $72.00	Facility		$45.00	$57.00	$72.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $101.00 / $101.00	Professional		$101.00	$101.00	$101.00