Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.79 / $356.65 / $427.30	Professional		$237.79	$356.65	$427.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $178.00 / $196.58	Professional		$150.00	$178.00	$196.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $122.20 / $166.60 / $187.60	Facility		$122.20	$166.60	$187.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.19 / $84.19 / $84.19	Professional		$84.19	$84.19	$84.19