Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $403.50 / $403.50 / $403.50	Facility		$403.50	$403.50	$403.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.25 / $376.21 / $544.27	Professional		$333.25	$376.21	$544.27
HMSA Facility/Professional Professional Modifier Low / Median / High Price $494.79 / $518.10 / $643.74	Professional		$494.79	$518.10	$643.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $345.31 / $443.97 / $690.62	Professional		$345.31	$443.97	$690.62
United Facility/Professional Professional Modifier Low / Median / High Price $223.58 / $398.11 / $544.27	Professional		$223.58	$398.11	$544.27
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $406.18 / $407.77 / $467.32	Professional		$406.18	$407.77	$467.32