Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.13 / $76.13 / $76.13	Facility		$76.13	$76.13	$76.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.69 / $58.12 / $104.83	Professional		$48.69	$58.12	$104.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $95.30 / $99.79 / $124.34	Professional		$95.30	$99.79	$124.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $85.77 / $133.41	Professional		$66.70	$85.77	$133.41
United Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $61.28 / $104.83	Professional		$36.76	$61.28	$104.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $78.76 / $82.89	Professional		$77.84	$78.76	$82.89