Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.98 / $267.98 / $267.98	Facility		$267.98	$267.98	$267.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $235.46 / $240.50	Professional		$26.88	$235.46	$240.50
HMSA Facility/Professional Professional Modifier Low / Median / High Price $474.90 / $474.90 / $497.28	Professional		$474.90	$474.90	$497.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $36.40 / $36.40	Professional		$36.40	$36.40	$36.40
United Facility/Professional Professional Modifier Low / Median / High Price $145.91 / $267.98 / $274.64	Professional		$145.91	$267.98	$274.64
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $361.50 / $361.50 / $361.50	Professional		$361.50	$361.50	$361.50