Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.10 / $97.10 / $97.10	Professional		$97.10	$97.10	$97.10
HMSA Facility/Professional Professional Modifier Low / Median / High Price $78.04 / $87.68 / $91.81	Professional		$78.04	$87.68	$91.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.68 / $85.45 / $108.75	Professional		$77.68	$85.45	$108.75
United Facility/Professional Professional Modifier Low / Median / High Price $97.10 / $97.10 / $97.10	Professional		$97.10	$97.10	$97.10
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $55.66 / $67.59 / $92.24	Professional		$55.66	$67.59	$92.24