Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $440.40 / $440.40 / $440.40	Facility		$440.40	$440.40	$440.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.85 / $283.73 / $513.90	Professional		$47.85	$283.73	$513.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $627.90 / $657.49 / $816.90	Professional		$627.90	$657.49	$816.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.92 / $16.92 / $507.32	Professional		$16.92	$16.92	$507.32
United Facility/Professional Professional Modifier Low / Median / High Price $284.06 / $440.40 / $505.80	Professional		$284.06	$440.40	$505.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $627.90 / $627.90 / $627.90	Professional		$627.90	$627.90	$627.90