Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.04 / $177.04 / $177.04	Professional		$177.04	$177.04	$177.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $213.61 / $213.61 / $213.61	Professional		$213.61	$213.61	$213.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.61 / $161.03 / $187.87	Professional		$147.61	$161.03	$187.87
United Facility/Professional Professional Modifier Low / Median / High Price $175.57 / $195.02 / $201.29	Professional		$175.57	$195.02	$201.29
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $108.84 / $143.22 / $167.50	Professional		$108.84	$143.22	$167.50