Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,071.52 / $2,089.30	Facility		$977.24	$1,071.52	$2,089.30
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $6,025.60 / $14,454.40	Facility		$2,238.72	$6,025.60	$14,454.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $338.84	Facility		$199.53	$199.53	$338.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $346.74 / $912.01	Facility		$75.86	$346.74	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,071.52 / $2,089.30	Facility		$977.24	$1,071.52	$2,089.30