Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.05 / $186.05 / $186.05	Professional		$186.05	$186.05	$186.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $114.64 / $355.97 / $494.53	Professional		$114.64	$355.97	$494.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.72 / $178.61 / $208.38	Professional		$163.72	$178.61	$208.38
United Facility/Professional Professional Modifier Low / Median / High Price $186.05 / $186.05 / $225.94	Professional		$186.05	$186.05	$225.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $173.06 / $231.87 / $586.03	Professional		$173.06	$231.87	$586.03