Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $964.72 / $964.72 / $964.72	Facility		$964.72	$964.72	$964.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $847.64	Professional		$200.00	$200.00	$847.64
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,329.45 / $1,329.45 / $1,392.09	Professional		$1,329.45	$1,329.45	$1,392.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.11 / $63.11 / $63.11	Professional		$63.11	$63.11	$63.11
United Facility/Professional Professional Modifier Low / Median / High Price $445.21 / $838.00 / $964.72	Professional		$445.21	$838.00	$964.72
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,152.19 / $1,152.19 / $1,152.19	Professional		$1,152.19	$1,152.19	$1,152.19