Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,412.54 / $3,630.78	Facility		$1,174.90	$1,412.54	$3,630.78
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $28,183.83	Facility		$8,511.38	$8,511.38	$28,183.83
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 $1,174.90 / $1,412.54 / $3,630.78	Facility		$1,174.90	$1,412.54	$3,630.78