Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $426.58	Professional		$213.80	$288.40	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $177.83 / $194.98	Professional		$151.36	$177.83	$194.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $162.18 / $186.21	Facility		$134.90	$162.18	$186.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $93.33 / $123.03	Professional		$75.86	$93.33	$123.03