Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $523.96 / $523.96 / $523.96	Facility		$523.96	$523.96	$523.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.44 / $365.81 / $633.73	Professional		$299.44	$365.81	$633.73
HMSA Facility/Professional Professional Modifier Low / Median / High Price $576.12 / $603.27 / $752.40	Professional		$576.12	$603.27	$752.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $403.28 / $520.32 / $806.57	Professional		$403.28	$520.32	$806.57
United Facility/Professional Professional Modifier Low / Median / High Price $236.74 / $236.74 / $633.73	Professional		$236.74	$236.74	$633.73
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $474.93 / $501.60 / $547.70	Professional		$474.93	$501.60	$547.70