Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.77 / $209.28 / $258.30	Professional		$170.77	$209.28	$258.30
HMSA Facility/Professional Professional Modifier Low / Median / High Price $174.77 / $192.38 / $231.70	Professional		$174.77	$192.38	$231.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.16 / $200.90 / $234.39	Professional		$184.16	$200.90	$234.39
United Facility/Professional Professional Modifier Low / Median / High Price $131.55 / $209.28 / $326.95	Professional		$131.55	$209.28	$326.95
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $124.37 / $202.54 / $220.31	Professional		$124.37	$202.54	$220.31