Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.83 / $49.83 / $49.83	Facility		$49.83	$49.83	$49.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.90 / $29.15 / $61.83	Professional		$25.90	$29.15	$61.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $56.21 / $58.86 / $73.40	Professional		$56.21	$58.86	$73.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.49 / $50.59 / $78.69	Professional		$4.49	$50.59	$78.69
United Facility/Professional Professional Modifier Low / Median / High Price $17.72 / $31.55 / $61.83	Professional		$17.72	$31.55	$61.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $44.89 / $46.50 / $53.28	Professional		$44.89	$46.50	$53.28