Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $978.50 / $1,071.00 / $2,107.00	Facility		$978.50	$1,071.00	$2,107.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $322.00	Facility		$200.00	$200.00	$322.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $78.20 / $357.68 / $949.96	Facility		$78.20	$357.68	$949.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $978.50 / $1,071.00 / $2,107.00	Facility		$978.50	$1,071.00	$2,107.00