Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.51 / $257.51 / $257.51	Facility		$257.51	$257.51	$257.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.31 / $196.56 / $354.53	Professional		$166.31	$196.56	$354.53
HMSA Facility/Professional Professional Modifier Low / Median / High Price $322.30 / $337.49 / $420.53	Professional		$322.30	$337.49	$420.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $225.61 / $290.07 / $451.22	Professional		$225.61	$290.07	$451.22
United Facility/Professional Professional Modifier Low / Median / High Price $123.68 / $212.77 / $354.53	Professional		$123.68	$212.77	$354.53
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $263.26 / $280.35 / $321.69	Professional		$263.26	$280.35	$321.69