Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $693.00 / $693.00 / $693.00	Facility		$693.00	$693.00	$693.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.24 / $370.80 / $608.89	Professional		$57.24	$370.80	$608.89
HMSA Facility/Professional Professional Modifier Low / Median / High Price $75.90 / $75.90 / $75.90	Professional		$75.90	$75.90	$75.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.42 / $111.42 / $111.42	Professional		$111.42	$111.42	$111.42
United Facility/Professional Professional Modifier Low / Median / High Price $280.32 / $280.32 / $693.00	Professional		$280.32	$280.32	$693.00