Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.68 / $450.88 / $615.48	Professional		$53.68	$450.88	$615.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $712.10 / $745.65 / $935.25	Professional		$712.10	$745.65	$935.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.41 / $55.41 / $55.41	Professional		$55.41	$55.41	$55.41
United Facility/Professional Facility Modifier Low / Median / High Price $49.63 / $418.10 / $557.46	Facility		$49.63	$418.10	$557.46
United Facility/Professional Professional Modifier Low / Median / High Price $317.52 / $317.52 / $546.10	Professional		$317.52	$317.52	$546.10
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $712.10 / $712.10 / $712.10	Professional		$712.10	$712.10	$712.10