Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.80 / $396.80 / $396.80	Professional		$396.80	$396.80	$396.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $189.95 / $214.64 / $264.20	Professional		$189.95	$214.64	$264.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.93 / $183.19 / $213.72	Professional		$167.93	$183.19	$213.72
United Facility/Professional Professional Modifier Low / Median / High Price $190.83 / $205.45 / $275.95	Professional		$190.83	$205.45	$275.95
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $194.43 / $250.69 / $548.11	Professional		$194.43	$250.69	$548.11