Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $404.73 / $404.73 / $404.73	Facility		$404.73	$404.73	$404.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.53 / $374.14 / $543.67	Professional		$331.53	$374.14	$543.67
HMSA Facility/Professional Professional Modifier Low / Median / High Price $494.25 / $517.54 / $643.04	Professional		$494.25	$517.54	$643.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $344.93 / $443.48 / $689.85	Professional		$344.93	$443.48	$689.85
United Facility/Professional Professional Modifier Low / Median / High Price $222.85 / $396.82 / $543.67	Professional		$222.85	$396.82	$543.67
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $405.75 / $407.34 / $466.82	Professional		$405.75	$407.34	$466.82