Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.70 / $945.84 / $1,491.06	Professional		$256.70	$945.84	$1,491.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.29 / $161.83 / $255.12	Professional	26	$48.29	$161.83	$255.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $189.86 / $784.01 / $1,235.94	Professional	TC	$189.86	$784.01	$1,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $405.49 / $503.00 / $1,094.23	Professional		$405.49	$503.00	$1,094.23
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $70.09 / $108.79 / $187.08	Professional	26	$70.09	$108.79	$187.08
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $335.38 / $405.64 / $907.15	Professional	TC	$335.38	$405.64	$907.15