Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.86 / $142.86 / $142.86	Facility		$142.86	$142.86	$142.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.30 / $114.85 / $196.28	Professional		$100.30	$114.85	$196.28
HMSA Facility/Professional Professional Modifier Low / Median / High Price $178.44 / $186.85 / $232.83	Professional		$178.44	$186.85	$232.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.91 / $160.60 / $249.82	Professional		$124.91	$160.60	$249.82
United Facility/Professional Professional Modifier Low / Median / High Price $71.50 / $126.08 / $196.28	Professional		$71.50	$126.08	$196.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $145.76 / $147.47 / $155.22	Professional		$145.76	$147.47	$155.22