Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $22.39 / $26.30	Professional		$20.89	$22.39	$26.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $177.83	Professional		$169.82	$169.82	$177.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $46.77	Facility		$28.84	$28.84	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $21.38 / $58.88	Professional		$19.95	$21.38	$58.88