Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $771.94 / $771.94 / $771.94	Facility		$771.94	$771.94	$771.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $128.00 / $678.26	Professional		$128.00	$128.00	$678.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $973.65 / $973.65 / $1,019.53	Professional		$973.65	$973.65	$1,019.53
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 $356.25 / $356.25 / $771.94	Professional		$356.25	$356.25	$771.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $843.83 / $843.83 / $843.83	Professional		$843.83	$843.83	$843.83