Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.59 / $197.59 / $197.59	Facility		$197.59	$197.59	$197.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $110.00 / $198.76	Professional		$13.15	$110.00	$198.76
HMSA Facility/Professional Professional Modifier Low / Median / High Price $212.40 / $222.41 / $277.50	Professional		$212.40	$222.41	$277.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $196.21 / $196.21 / $196.21	Professional		$196.21	$196.21	$196.21
United Facility/Professional Professional Modifier Low / Median / High Price $65.19 / $122.70 / $197.59	Professional		$65.19	$122.70	$197.59
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $206.54 / $206.54 / $212.40	Professional		$206.54	$206.54	$212.40