Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.02 / $177.02 / $177.02	Professional		$177.02	$177.02	$177.02
HMSA Facility/Professional Professional Modifier Low / Median / High Price $226.56 / $254.55 / $266.54	Professional		$226.56	$254.55	$266.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.27 / $177.02 / $206.53	Professional		$162.27	$177.02	$206.53
United Facility/Professional Professional Modifier Low / Median / High Price $177.02 / $221.28 / $286.35	Professional		$177.02	$221.28	$286.35
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $165.22 / $265.89 / $371.02	Professional		$165.22	$265.89	$371.02