Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.51 / $108.51 / $108.51	Facility		$108.51	$108.51	$108.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.15 / $92.68 / $149.19	Professional		$78.15	$92.68	$149.19
HMSA Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $142.02 / $176.97	Professional		$135.63	$142.02	$176.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.76 / $122.07 / $189.88	Professional		$9.76	$122.07	$189.88
United Facility/Professional Professional Modifier Low / Median / High Price $56.69 / $96.83 / $149.19	Professional		$56.69	$96.83	$149.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $93.25 / $112.09 / $135.63	Professional		$93.25	$112.09	$135.63