Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.86 / $232.86 / $232.86	Facility		$232.86	$232.86	$232.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $123.98 / $234.23	Professional		$17.16	$123.98	$234.23
HMSA Facility/Professional Professional Modifier Low / Median / High Price $264.30 / $276.75 / $345.00	Professional		$264.30	$276.75	$345.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $231.24 / $231.24 / $231.24	Professional		$231.24	$231.24	$231.24
United Facility/Professional Professional Modifier Low / Median / High Price $85.90 / $161.68 / $232.86	Professional		$85.90	$161.68	$232.86
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $264.30 / $264.30 / $264.30	Professional		$264.30	$264.30	$264.30