Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.78 / $103.78 / $103.78	Facility		$103.78	$103.78	$103.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.97 / $89.56 / $142.47	Professional		$73.97	$89.56	$142.47
HMSA Facility/Professional Professional Modifier Low / Median / High Price $129.53 / $135.63 / $169.02	Professional		$129.53	$135.63	$169.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $116.58 / $181.34	Professional		$9.36	$116.58	$181.34
United Facility/Professional Professional Modifier Low / Median / High Price $54.62 / $92.33 / $142.47	Professional		$54.62	$92.33	$142.47
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $89.19 / $107.06 / $129.53	Professional		$89.19	$107.06	$129.53