Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $972.61 / $972.61 / $972.61	Facility		$972.61	$972.61	$972.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.71 / $854.58 / $999.36	Professional		$109.71	$854.58	$999.36
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,768.59	Professional		$1,689.00	$1,689.00	$1,768.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.19 / $135.19 / $135.19	Professional		$135.19	$135.19	$135.19
United Facility/Professional Professional Modifier Low / Median / High Price $529.19 / $972.61 / $996.07	Professional		$529.19	$972.61	$996.07
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,141.40 / $1,141.40 / $1,141.40	Professional		$1,141.40	$1,141.40	$1,141.40