Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.32 / $127.32 / $127.32	Facility		$127.32	$127.32	$127.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.52 / $110.39 / $175.24	Professional		$93.52	$110.39	$175.24
HMSA Facility/Professional Professional Modifier Low / Median / High Price $159.31 / $166.82 / $207.87	Professional		$159.31	$166.82	$207.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $143.38 / $223.03	Professional		$11.46	$143.38	$223.03
United Facility/Professional Professional Modifier Low / Median / High Price $67.62 / $114.41 / $175.24	Professional		$67.62	$114.41	$175.24
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $114.70 / $131.66 / $150.91	Professional		$114.70	$131.66	$150.91