Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.83 / $170.83 / $170.83	Professional		$170.83	$170.83	$170.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $523.55 / $523.55	Professional		$500.00	$523.55	$523.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00