Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.45 / $95.45 / $95.45	Professional		$95.45	$95.45	$95.45
HMSA Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $94.92 / $99.39	Professional		$84.48	$94.92	$99.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.36 / $84.00 / $106.90	Professional		$76.36	$84.00	$106.90
United Facility/Professional Professional Modifier Low / Median / High Price $95.45 / $95.45 / $95.45	Professional		$95.45	$95.45	$95.45
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $60.40 / $73.34 / $100.10	Professional		$60.40	$73.34	$100.10