Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.01 / $188.01 / $188.01	Facility		$188.01	$188.01	$188.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.41 / $154.66 / $260.33	Professional		$134.41	$154.66	$260.33
HMSA Facility/Professional Professional Modifier Low / Median / High Price $236.67 / $247.82 / $310.85	Professional		$236.67	$247.82	$310.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $213.00 / $331.34	Professional		$16.93	$213.00	$331.34
United Facility/Professional Professional Modifier Low / Median / High Price $102.19 / $154.66 / $260.33	Professional		$102.19	$154.66	$260.33
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $113.10 / $196.78 / $225.26	Professional		$113.10	$196.78	$225.26