Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $414.13 / $414.13 / $414.13	Facility		$414.13	$414.13	$414.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.42 / $300.83 / $507.38	Professional		$243.42	$300.83	$507.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $461.25 / $482.98 / $602.33	Professional		$461.25	$482.98	$602.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.31 / $415.13 / $645.75	Professional		$37.31	$415.13	$645.75
United Facility/Professional Professional Modifier Low / Median / High Price $192.22 / $304.45 / $507.38	Professional		$192.22	$304.45	$507.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $373.10 / $381.60 / $437.18	Professional		$373.10	$381.60	$437.18