Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.16 / $225.16 / $225.16	Facility		$225.16	$225.16	$225.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.86 / $174.27 / $195.21	Professional		$19.86	$174.27	$195.21
HMSA Facility/Professional Professional Modifier Low / Median / High Price $369.15 / $369.15 / $386.54	Professional		$369.15	$369.15	$386.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $18.25 / $192.71	Professional		$18.25	$18.25	$192.71
United Facility/Professional Professional Modifier Low / Median / High Price $103.35 / $194.52 / $225.16	Professional		$103.35	$194.52	$225.16
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $282.89 / $282.89 / $282.89	Professional		$282.89	$282.89	$282.89