Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.93 / $101.93 / $101.93	Facility		$101.93	$101.93	$101.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.59 / $133.56 / $155.94	Professional		$123.59	$133.56	$155.94
HMSA Facility/Professional Professional Modifier Low / Median / High Price $128.29 / $134.34 / $168.53	Professional		$128.29	$134.34	$168.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $128.31 / $250.44	Professional		$10.65	$128.31	$250.44
United Facility/Professional Professional Modifier Low / Median / High Price $101.93 / $105.15 / $159.32	Professional		$101.93	$105.15	$159.32
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $106.55 / $106.69 / $112.35	Professional		$106.55	$106.69	$112.35