Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareSource Facility/Professional Facility Modifier Low / Median / High Price $715.88 / $715.88 / $715.88	Facility		$715.88	$715.88	$715.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $817.50 / $817.50 / $1,021.88	Professional		$817.50	$817.50	$1,021.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,381.00 / $4,381.00 / $4,381.00	Professional		$4,381.00	$4,381.00	$4,381.00