Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.04 / $164.04 / $164.04	Facility		$164.04	$164.04	$164.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.39 / $77.00 / $174.60	Professional		$66.39	$77.00	$174.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $164.04 / $171.77 / $207.51	Professional		$164.04	$171.77	$207.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $142.86 / $222.22	Professional		$6.50	$142.86	$222.22
United Facility/Professional Professional Modifier Low / Median / High Price $48.47 / $74.23 / $174.60	Professional		$48.47	$74.23	$174.60
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $130.35 / $150.57	Professional		$69.45	$130.35	$150.57