Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $554.33 / $554.33 / $554.33	Facility		$554.33	$554.33	$554.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $480.60 / $767.57	Professional		$234.00	$480.60	$767.57
HMSA Facility/Professional Professional Modifier Low / Median / High Price $697.79 / $730.67 / $916.52	Professional		$697.79	$730.67	$916.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.94 / $628.01 / $976.91	Professional		$49.94	$628.01	$976.91
United Facility/Professional Professional Modifier Low / Median / High Price $320.77 / $485.49 / $767.57	Professional		$320.77	$485.49	$767.57
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $333.45 / $580.20 / $664.17	Professional		$333.45	$580.20	$664.17