Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $208.93	Professional		$165.96	$165.96	$208.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $125.89 / $199.53	Facility		$74.13	$125.89	$199.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $131.83 / $213.80	Professional		$74.13	$131.83	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $165.96 / $173.78	Facility		$125.89	$165.96	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $173.78	Professional		$75.86	$95.50	$173.78