Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $497.24 / $497.24 / $497.24	Facility		$497.24	$497.24	$497.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.90 / $431.10 / $688.52	Professional		$353.90	$431.10	$688.52
HMSA Facility/Professional Professional Modifier Low / Median / High Price $625.92 / $655.42 / $822.14	Professional		$625.92	$655.42	$822.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $563.34 / $876.30	Professional		$38.08	$563.34	$876.30
United Facility/Professional Professional Modifier Low / Median / High Price $292.27 / $442.38 / $688.52	Professional		$292.27	$442.38	$688.52
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $520.45 / $521.49 / $548.09	Professional		$520.45	$521.49	$548.09