Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $436.52 / $575.44	Professional		$234.42	$436.52	$575.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $120.23 / $208.93	Facility		$77.62	$120.23	$208.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $120.23 / $194.98	Professional		$79.43	$120.23	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $85.11	Professional		$60.26	$70.79	$85.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $186.21 / $245.47	Facility		$138.04	$186.21	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $128.82 / $177.83	Professional		$83.18	$128.82	$177.83