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 $44.42 / $52.54 / $117.78	Professional		$44.42	$52.54	$117.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $116.32 / $121.80 / $139.49	Professional		$116.32	$121.80	$139.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.79 / $95.98 / $149.30	Professional		$53.79	$95.98	$149.30
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $48.19 / $117.78	Professional		$30.90	$48.19	$117.78
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $88.11 / $92.99 / $115.98	Professional		$88.11	$92.99	$115.98