Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.57 / $141.57 / $141.57	Facility		$141.57	$141.57	$141.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $101.12 / $171.45	Professional		$81.17	$101.12	$171.45
HMSA Facility/Professional Professional Modifier Low / Median / High Price $155.86 / $163.19 / $203.55	Professional		$155.86	$163.19	$203.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.10 / $140.58 / $218.20	Professional		$109.10	$140.58	$218.20
United Facility/Professional Professional Modifier Low / Median / High Price $65.31 / $102.50 / $171.45	Professional		$65.31	$102.50	$171.45
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $128.47 / $128.96 / $147.97	Professional		$128.47	$128.96	$147.97