Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.97 / $95.97 / $95.97	Facility		$95.97	$95.97	$95.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.38 / $78.33 / $127.13	Professional		$66.38	$78.33	$127.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $115.57 / $121.02 / $150.84	Professional		$115.57	$121.02	$150.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.90 / $104.01 / $161.80	Professional		$80.90	$104.01	$161.80
United Facility/Professional Professional Modifier Low / Median / High Price $48.55 / $83.65 / $127.13	Professional		$48.55	$83.65	$127.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $95.18 / $95.68 / $115.57	Professional		$95.18	$95.68	$115.57