Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.01 / $96.01 / $96.01	Professional		$96.01	$96.01	$96.01
HMSA Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $36.65 / $98.45	Professional		$34.61	$36.65	$98.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.49 / $92.17 / $107.53	Professional		$84.49	$92.17	$107.53
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $20.32 / $22.16 / $25.86	Professional	26	$20.32	$22.16	$25.86
United Facility/Professional Professional Modifier Low / Median / High Price $96.01 / $96.01 / $110.03	Professional		$96.01	$96.01	$110.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $50.56 / $102.53 / $151.97	Professional		$50.56	$102.53	$151.97