Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $319.70 / $319.70 / $319.70	Facility		$319.70	$319.70	$319.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.62 / $302.31 / $434.20	Professional		$267.62	$302.31	$434.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $394.73 / $413.33 / $513.54	Professional		$394.73	$413.33	$513.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.49 / $354.20 / $550.97	Professional		$275.49	$354.20	$550.97
United Facility/Professional Professional Modifier Low / Median / High Price $178.99 / $318.72 / $434.20	Professional		$178.99	$318.72	$434.20
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $302.14 / $325.30 / $372.81	Professional		$302.14	$325.30	$372.81