Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $397.76 / $397.76 / $397.76	Facility		$397.76	$397.76	$397.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.55 / $344.85 / $550.75	Professional		$307.55	$344.85	$550.75
HMSA Facility/Professional Professional Modifier Low / Median / High Price $500.68 / $524.27 / $657.63	Professional		$500.68	$524.27	$657.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.85 / $450.61 / $700.95	Professional		$35.85	$450.61	$700.95
United Facility/Professional Professional Modifier Low / Median / High Price $233.81 / $353.87 / $550.75	Professional		$233.81	$353.87	$550.75
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $416.32 / $417.15 / $438.42	Professional		$416.32	$417.15	$438.42