Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.50 / $432.50 / $432.50	Facility		$432.50	$432.50	$432.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $256.50 / $380.02	Professional		$35.83	$256.50	$380.02
HMSA Facility/Professional Professional Modifier Low / Median / High Price $677.25 / $677.25 / $709.16	Professional		$677.25	$677.25	$709.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $36.50 / $37.36	Professional		$36.50	$36.50	$37.36
United Facility/Professional Professional Modifier Low / Median / High Price $162.21 / $162.21 / $432.50	Professional		$162.21	$162.21	$432.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $519.10 / $519.10 / $519.10	Professional		$519.10	$519.10	$519.10