Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.16 / $202.16 / $202.16	Facility		$202.16	$202.16	$202.16
HMSA Facility/Professional Facility Modifier Low / Median / High Price $615.73 / $615.73 / $615.73	Facility		$615.73	$615.73	$615.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $280.00	Facility		$110.00	$110.00	$280.00
United Facility/Professional Facility Modifier Low / Median / High Price $202.16 / $1,200.00 / $1,200.00	Facility		$202.16	$1,200.00	$1,200.00
University Health Alliance Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $110.00	Facility		$110.00	$110.00	$110.00