Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $447.88 / $447.88 / $447.88	Facility		$447.88	$447.88	$447.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.13 / $338.00 / $393.51	Professional		$41.13	$338.00	$393.51
HMSA Facility/Professional Professional Modifier Low / Median / High Price $47.73 / $47.73 / $47.73	Professional		$47.73	$47.73	$47.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.70 / $84.70 / $84.70	Professional		$84.70	$84.70	$84.70
United Facility/Professional Professional Modifier Low / Median / High Price $177.35 / $333.83 / $447.88	Professional		$177.35	$333.83	$447.88