Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.17 / $66.17 / $66.17	Facility		$66.17	$66.17	$66.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.06 / $64.98 / $91.55	Professional		$54.06	$64.98	$91.55
HMSA Facility/Professional Professional Modifier Low / Median / High Price $83.23 / $87.15 / $108.27	Professional		$83.23	$87.15	$108.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.09 / $74.69 / $116.19	Professional		$58.09	$74.69	$116.19
United Facility/Professional Professional Modifier Low / Median / High Price $38.10 / $66.17 / $91.55	Professional		$38.10	$66.17	$91.55
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $68.59 / $78.61	Professional		$68.31	$68.59	$78.61