Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.32 / $170.32 / $170.32	Facility		$170.32	$170.32	$170.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.53 / $128.61 / $219.55	Professional		$70.53	$128.61	$219.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.71 / $179.63 / $279.43	Professional		$139.71	$179.63	$279.43
United Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $134.96 / $219.55	Professional		$78.98	$134.96	$219.55
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $165.05 / $189.12	Professional		$164.42	$165.05	$189.12