Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $481.33 / $481.33 / $481.33	Facility		$481.33	$481.33	$481.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.50 / $417.32 / $666.48	Professional		$292.50	$417.32	$666.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $605.89 / $634.44 / $795.81	Professional		$605.89	$634.44	$795.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.35 / $545.29 / $848.25	Professional		$43.35	$545.29	$848.25
United Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $418.36 / $666.48	Professional		$245.30	$418.36	$666.48
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $289.54 / $503.79 / $576.70	Professional		$289.54	$503.79	$576.70