Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $417.55 / $417.55 / $417.55	Facility		$417.55	$417.55	$417.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.50 / $238.50 / $366.87	Professional		$238.50	$238.50	$366.87
HMSA Facility/Professional Professional Modifier Low / Median / High Price $788.10 / $788.10 / $825.24	Professional		$788.10	$788.10	$825.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.47 / $41.47 / $43.54	Professional		$41.47	$41.47	$43.54
United Facility/Professional Facility Modifier Low / Median / High Price $35.84 / $202.00 / $269.45	Facility		$35.84	$202.00	$269.45
United Facility/Professional Professional Modifier Low / Median / High Price $150.90 / $284.02 / $417.55	Professional		$150.90	$284.02	$417.55
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $604.00 / $604.00 / $604.00	Professional		$604.00	$604.00	$604.00