Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,181.00 / $1,181.00 / $1,181.00	Facility		$1,181.00	$1,181.00	$1,181.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $2,332.21	Facility		$200.00	$200.00	$2,332.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $915.00 / $915.00 / $915.00	Facility		$915.00	$915.00	$915.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,115.00 / $2,212.00 / $2,323.00	Facility		$1,115.00	$2,212.00	$2,323.00