Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.01 / $376.01 / $376.01	Facility		$376.01	$376.01	$376.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.17 / $292.92 / $481.95	Professional		$243.17	$292.92	$481.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $438.14 / $458.79 / $571.97	Professional		$438.14	$458.79	$571.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $306.70 / $394.33 / $613.40	Professional		$306.70	$394.33	$613.40
United Facility/Professional Professional Modifier Low / Median / High Price $183.17 / $309.07 / $481.95	Professional		$183.17	$309.07	$481.95
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $360.95 / $381.31 / $415.18	Professional		$360.95	$381.31	$415.18