Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.52 / $172.52 / $206.69	Professional		$172.52	$172.52	$206.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $175.00 / $194.25	Professional		$150.00	$175.00	$194.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $241.34 / $79,999.20 / $79,999.20	Facility		$241.34	$79,999.20	$79,999.20