Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.72 / $111.72 / $111.72	Facility		$111.72	$111.72	$111.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.78 / $75.70 / $132.15	Professional		$60.78	$75.70	$132.15
HMSA Facility/Professional Professional Modifier Low / Median / High Price $120.14 / $125.80 / $156.91	Professional		$120.14	$125.80	$156.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.10 / $110.96 / $168.20	Professional		$84.10	$110.96	$168.20
United Facility/Professional Professional Modifier Low / Median / High Price $49.76 / $79.20 / $132.15	Professional		$49.76	$79.20	$132.15
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $99.06 / $104.61 / $116.80	Professional		$99.06	$104.61	$116.80