Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.29 / $193.29 / $193.29	Facility		$193.29	$193.29	$193.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.68 / $156.62 / $253.84	Professional		$130.68	$156.62	$253.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $230.76 / $241.63 / $301.19	Professional		$230.76	$241.63	$301.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.53 / $207.68 / $323.06	Professional		$161.53	$207.68	$323.06
United Facility/Professional Professional Modifier Low / Median / High Price $95.70 / $161.05 / $253.84	Professional		$95.70	$161.05	$253.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $189.82 / $190.79 / $200.79	Professional		$189.82	$190.79	$200.79