Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.01 / $145.01 / $145.01	Facility		$145.01	$145.01	$145.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.62 / $100.83 / $174.20	Professional		$81.62	$100.83	$174.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $158.36 / $165.82 / $206.82	Professional		$158.36	$165.82	$206.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.85 / $144.01 / $221.70	Professional		$110.85	$144.01	$221.70
United Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $106.50 / $174.20	Professional		$65.34	$106.50	$174.20
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $130.55 / $131.03 / $150.11	Professional		$130.55	$131.03	$150.11