Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.97 / $161.97 / $161.97	Facility		$161.97	$161.97	$161.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.67 / $49.20 / $162.91	Professional		$42.67	$49.20	$162.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $150.86 / $157.97 / $178.14	Professional		$150.86	$157.97	$178.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $122.47 / $190.51	Professional		$63.18	$122.47	$190.51
United Facility/Professional Professional Modifier Low / Median / High Price $29.43 / $50.45 / $161.97	Professional		$29.43	$50.45	$161.97
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $112.58 / $112.92 / $129.21	Professional		$112.58	$112.92	$129.21