Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.96 / $131.96 / $131.96	Facility		$131.96	$131.96	$131.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.65 / $113.35 / $181.20	Professional		$94.65	$113.35	$181.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $164.73 / $172.49 / $214.94	Professional		$164.73	$172.49	$214.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.31 / $148.26 / $230.62	Professional		$115.31	$148.26	$230.62
United Facility/Professional Professional Modifier Low / Median / High Price $68.89 / $117.63 / $181.20	Professional		$68.89	$117.63	$181.20
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $134.56 / $137.93 / $156.04	Professional		$134.56	$137.93	$156.04