Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $3,311.31	Facility		$2,454.71	$2,454.71	$3,311.31
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,888.44 / $8,511.38	Facility		$5,495.41	$5,888.44	$8,511.38
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 $2,454.71 / $2,454.71 / $3,311.31	Facility		$2,454.71	$2,454.71	$3,311.31