Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.63 / $125.63 / $125.63	Facility		$125.63	$125.63	$125.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.16 / $102.18 / $172.70	Professional		$88.16	$102.18	$172.70
HMSA Facility/Professional Professional Modifier Low / Median / High Price $157.00 / $164.40 / $204.86	Professional		$157.00	$164.40	$204.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.90 / $141.30 / $219.80	Professional		$109.90	$141.30	$219.80
United Facility/Professional Professional Modifier Low / Median / High Price $63.08 / $109.76 / $172.70	Professional		$63.08	$109.76	$172.70
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $128.25 / $129.76 / $148.72	Professional		$128.25	$129.76	$148.72