Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.45 / $98.45 / $176.31	Professional		$98.45	$98.45	$176.31
HMSA Facility/Professional Professional Modifier Low / Median / High Price $160.28 / $167.83 / $167.83	Professional		$160.28	$167.83	$167.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $160.28 / $224.39	Professional		$112.20	$160.28	$224.39
United Facility/Professional Facility Modifier Low / Median / High Price $12.64 / $94.78 / $126.39	Facility		$12.64	$94.78	$126.39
United Facility/Professional Professional Modifier Low / Median / High Price $87.90 / $133.04 / $176.31	Professional		$87.90	$133.04	$176.31