Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.32 / $116.32 / $116.32	Facility		$116.32	$116.32	$116.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $42.48 / $117.01	Professional		$25.20	$42.48	$117.01
HMSA Facility/Professional Professional Modifier Low / Median / High Price $116.32 / $121.80 / $137.36	Professional		$116.32	$121.80	$137.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.75 / $90.22 / $140.34	Professional		$45.75	$90.22	$140.34
United Facility/Professional Professional Modifier Low / Median / High Price $25.32 / $40.99 / $116.32	Professional		$25.32	$40.99	$116.32
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $82.89 / $87.45 / $115.98	Professional		$82.89	$87.45	$115.98