Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.30 / $492.77 / $590.40	Professional		$335.30	$492.77	$590.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $178.00 / $271.07	Professional		$150.00	$178.00	$271.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $137.69 / $185.36 / $245.22	Facility		$137.69	$185.36	$245.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.65 / $111.65 / $111.65	Professional		$111.65	$111.65	$111.65