Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $610.00 / $610.00 / $610.00	Professional		$610.00	$610.00	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $79.34 / $79.34	Professional		$79.34	$79.34	$79.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,193.81 / $4,193.81 / $4,193.81	Professional		$4,193.81	$4,193.81	$4,193.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $80.00	Professional		$45.00	$50.00	$80.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20