Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.26 / $286.26 / $286.26	Facility		$286.26	$286.26	$286.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.42 / $240.34 / $334.07	Professional		$33.42	$240.34	$334.07
HMSA Facility/Professional Professional Modifier Low / Median / High Price $418.20 / $437.91 / $550.20	Professional		$418.20	$437.91	$550.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $329.78 / $329.78 / $329.78	Professional		$329.78	$329.78	$329.78
United Facility/Professional Professional Modifier Low / Median / High Price $194.76 / $286.26 / $346.80	Professional		$194.76	$286.26	$346.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $418.20 / $418.20 / $418.20	Professional		$418.20	$418.20	$418.20