Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.45 / $67.45 / $67.45	Facility		$67.45	$67.45	$67.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $58.48 / $93.39	Professional		$46.80	$58.48	$93.39
HMSA Facility/Professional Professional Modifier Low / Median / High Price $84.90 / $88.90 / $111.53	Professional		$84.90	$88.90	$111.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $76.41 / $118.86	Professional		$6.08	$76.41	$118.86
United Facility/Professional Professional Modifier Low / Median / High Price $38.28 / $38.28 / $93.39	Professional		$38.28	$38.28	$93.39
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.96 / $70.73 / $84.90	Professional		$57.96	$70.73	$84.90