Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.47 / $135.47 / $135.47	Facility		$135.47	$135.47	$135.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.76 / $103.09 / $172.72	Professional		$57.76	$103.09	$172.72
HMSA Facility/Professional Professional Modifier Low / Median / High Price $157.02 / $164.42 / $209.10	Professional		$157.02	$164.42	$209.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $141.32 / $219.83	Professional		$12.20	$141.32	$219.83
United Facility/Professional Professional Modifier Low / Median / High Price $66.22 / $110.95 / $172.72	Professional		$66.22	$110.95	$172.72
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $128.35 / $132.36 / $139.40	Professional		$128.35	$132.36	$139.40