Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.86 / $549.86 / $549.86	Facility		$549.86	$549.86	$549.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.55 / $427.32 / $757.19	Professional		$354.55	$427.32	$757.19
HMSA Facility/Professional Professional Modifier Low / Median / High Price $688.35 / $720.79 / $898.13	Professional		$688.35	$720.79	$898.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $481.85 / $619.52 / $963.69	Professional		$481.85	$619.52	$963.69
United Facility/Professional Professional Modifier Low / Median / High Price $267.39 / $453.94 / $757.19	Professional		$267.39	$453.94	$757.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $562.26 / $568.90 / $652.03	Professional		$562.26	$568.90	$652.03