Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.63 / $299.79 / $359.75	Professional		$244.63	$299.79	$359.75
HMSA Facility/Professional Professional Modifier Low / Median / High Price $211.94 / $246.93 / $379.83	Professional		$211.94	$246.93	$379.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.38 / $239.83 / $299.79	Professional		$162.38	$239.83	$299.79
United Facility/Professional Professional Modifier Low / Median / High Price $244.63 / $299.79 / $604.79	Professional		$244.63	$299.79	$604.79
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $41.53 / $168.14 / $288.11	Professional		$41.53	$168.14	$288.11