Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.29 / $277.29 / $277.29	Facility		$277.29	$277.29	$277.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.96 / $197.85 / $337.78	Professional		$160.96	$197.85	$337.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $307.07 / $321.54 / $401.01	Professional		$307.07	$321.54	$401.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $214.95 / $276.36 / $429.90	Professional		$214.95	$276.36	$429.90
United Facility/Professional Professional Modifier Low / Median / High Price $127.15 / $209.92 / $337.78	Professional		$127.15	$209.92	$337.78
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $253.12 / $267.33 / $295.60	Professional		$253.12	$267.33	$295.60