Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $768.05 / $768.05 / $768.05	Facility		$768.05	$768.05	$768.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.73 / $459.79 / $772.59	Professional		$50.73	$459.79	$772.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $829.00 / $868.06 / $1,082.70	Professional		$829.00	$868.06	$1,082.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $762.70 / $762.70 / $762.70	Professional		$762.70	$762.70	$762.70
United Facility/Professional Professional Modifier Low / Median / High Price $260.37 / $490.10 / $768.05	Professional		$260.37	$490.10	$768.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $829.00 / $829.00 / $829.00	Professional		$829.00	$829.00	$829.00