Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $535.96 / $535.96 / $535.96	Facility		$535.96	$535.96	$535.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.91 / $470.91 / $470.91	Professional		$470.91	$470.91	$470.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $810.75 / $810.75 / $848.95	Professional		$810.75	$810.75	$848.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.72 / $57.72 / $57.72	Professional		$57.72	$57.72	$57.72
United Facility/Professional Professional Modifier Low / Median / High Price $247.34 / $247.34 / $535.96	Professional		$247.34	$247.34	$535.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $702.65 / $702.65 / $702.65	Professional		$702.65	$702.65	$702.65