Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $398.11 / $588.84	Professional		$295.12	$398.11	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $177.83 / $269.15	Professional		$151.36	$177.83	$269.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $186.21 / $245.47	Facility		$138.04	$186.21	$245.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $123.03 / $165.96	Professional		$83.18	$123.03	$165.96