Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.98 / $98.98 / $98.98	Facility		$98.98	$98.98	$98.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $85.82 / $137.04	Professional		$62.10	$85.82	$137.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $124.58 / $130.44 / $163.63	Professional		$124.58	$130.44	$163.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $112.12 / $174.41	Professional		$8.92	$112.12	$174.41
United Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $98.98 / $137.04	Professional		$68.25	$98.98	$137.04
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $59.54 / $103.59 / $118.58	Professional		$59.54	$103.59	$118.58