Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.91 / $400.91 / $400.91	Facility		$400.91	$400.91	$400.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.50 / $330.17 / $533.78	Professional		$229.50	$330.17	$533.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $485.25 / $508.11 / $638.80	Professional		$485.25	$508.11	$638.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $339.68 / $436.73 / $679.35	Professional		$339.68	$436.73	$679.35
United Facility/Professional Professional Modifier Low / Median / High Price $212.32 / $371.84 / $533.78	Professional		$212.32	$371.84	$533.78
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $396.60 / $404.35 / $425.87	Professional		$396.60	$404.35	$425.87