Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.43 / $193.43 / $193.43	Facility		$193.43	$193.43	$193.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.12 / $129.12 / $194.57	Professional		$129.12	$129.12	$194.57
HMSA Facility/Professional Professional Modifier Low / Median / High Price $216.80 / $227.02 / $283.05	Professional		$216.80	$227.02	$283.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.07 / $192.07 / $192.07	Professional		$192.07	$192.07	$192.07
United Facility/Professional Professional Modifier Low / Median / High Price $71.13 / $133.88 / $193.43	Professional		$71.13	$133.88	$193.43
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $202.18 / $202.18 / $216.80	Professional		$202.18	$202.18	$216.80