Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.65 / $36.65 / $36.65	Facility		$36.65	$36.65	$36.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.93 / $17.41 / $50.74	Professional		$13.93	$17.41	$50.74
HMSA Facility/Professional Professional Modifier Low / Median / High Price $46.13 / $48.30 / $60.60	Professional		$46.13	$48.30	$60.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $41.52 / $64.58	Professional		$3.30	$41.52	$64.58
United Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $17.41 / $50.74	Professional		$11.50	$17.41	$50.74
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $38.36 / $43.91	Professional		$22.05	$38.36	$43.91