Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.59 / $171.59 / $171.59	Facility		$171.59	$171.59	$171.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $150.77 / $153.77	Professional		$18.44	$150.77	$153.77
HMSA Facility/Professional Professional Modifier Low / Median / High Price $320.85 / $320.85 / $335.97	Professional		$320.85	$320.85	$335.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $17.48 / $17.48	Professional		$17.48	$17.48	$17.48
United Facility/Professional Professional Modifier Low / Median / High Price $93.38 / $171.59 / $175.76	Professional		$93.38	$171.59	$175.76
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $244.20 / $244.20 / $244.20	Professional		$244.20	$244.20	$244.20