Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $120.23 / $501.19	Facility		$109.65	$120.23	$501.19
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $1,348.96 / $37,153.52	Facility		$234.42	$1,348.96	$37,153.52
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 $151.36 / $173.78 / $234.42	Facility		$151.36	$173.78	$234.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $501.19	Facility		$120.23	$120.23	$501.19