Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $520.37 / $520.37 / $520.37	Facility		$520.37	$520.37	$520.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.71 / $421.12 / $716.88	Professional		$358.71	$421.12	$716.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $651.71 / $682.42 / $850.32	Professional		$651.71	$682.42	$850.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $456.20 / $586.54 / $912.39	Professional		$456.20	$586.54	$912.39
United Facility/Professional Facility Modifier Low / Median / High Price $39.13 / $293.47 / $391.30	Facility		$39.13	$293.47	$391.30
United Facility/Professional Professional Modifier Low / Median / High Price $260.36 / $450.03 / $716.88	Professional		$260.36	$450.03	$716.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $532.33 / $538.61 / $617.32	Professional		$532.33	$538.61	$617.32