Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.21 / $148.21 / $148.21	Facility		$148.21	$148.21	$148.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.50 / $238.16 / $274.02	Professional		$128.50	$238.16	$274.02
HMSA Facility/Professional Professional Modifier Low / Median / High Price $186.57 / $195.36 / $245.06	Professional		$186.57	$195.36	$245.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $186.57 / $261.20	Professional		$13.34	$186.57	$261.20
United Facility/Professional Professional Modifier Low / Median / High Price $148.21 / $181.05 / $274.02	Professional		$148.21	$181.05	$274.02
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $89.15 / $155.13 / $177.58	Professional		$89.15	$155.13	$177.58