Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.96 / $248.96 / $248.96	Professional		$248.96	$248.96	$248.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $221.11 / $248.42 / $260.13	Professional		$221.11	$248.42	$260.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.17 / $219.09 / $278.83	Professional		$199.17	$219.09	$278.83
United Facility/Professional Professional Modifier Low / Median / High Price $248.96 / $248.96 / $248.96	Professional		$248.96	$248.96	$248.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $158.09 / $191.96 / $261.97	Professional		$158.09	$191.96	$261.97