Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $350.00 / $550.00	Facility		$350.00	$350.00	$550.00
HMSA Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $455.00 / $455.00	Facility		$455.00	$455.00	$455.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $280.00	Facility		$110.00	$110.00	$280.00
University Health Alliance Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $110.00	Facility		$110.00	$110.00	$110.00