Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.00 / $333.00 / $333.00	Facility		$333.00	$333.00	$333.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.05 / $244.85 / $458.23	Professional		$204.05	$244.85	$458.23
HMSA Facility/Professional Professional Modifier Low / Median / High Price $416.57 / $436.20 / $543.53	Professional		$416.57	$436.20	$543.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $291.60 / $374.91 / $583.20	Professional		$291.60	$374.91	$583.20
United Facility/Professional Professional Modifier Low / Median / High Price $155.86 / $263.58 / $458.23	Professional		$155.86	$263.58	$458.23
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $340.27 / $344.28 / $394.59	Professional		$340.27	$344.28	$394.59