Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.94 / $170.94 / $170.94	Facility		$170.94	$170.94	$170.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $64.17 / $171.93	Professional		$13.43	$64.17	$171.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $178.99 / $223.56 / $223.56	Professional		$178.99	$223.56	$223.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.74 / $169.74 / $169.74	Professional		$169.74	$169.74	$169.74
United Facility/Professional Professional Modifier Low / Median / High Price $64.04 / $120.54 / $170.94	Professional		$64.04	$120.54	$170.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $170.42 / $170.42 / $213.50	Professional		$170.42	$170.42	$213.50