Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $87.10 / $104.71	Professional		$83.18	$87.10	$104.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $85.11 / $102.33	Professional		$50.12	$85.11	$102.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $109.65	Professional		$97.72	$97.72	$109.65