Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.33 / $377.53 / $452.33	Professional		$325.33	$377.53	$452.33
HMSA Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.80 / $232.80 / $670.00	Professional		$232.80	$232.80	$670.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $67.26 / $81.67 / $111.45	Professional		$67.26	$81.67	$111.45