Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $158.91 / $177.89	Professional		$158.91	$158.91	$177.89
HMSA Facility/Professional Professional Modifier Low / Median / High Price $216.43 / $216.43 / $216.43	Professional		$216.43	$216.43	$216.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $190.70 / $222.48	Professional		$158.91	$190.70	$222.48
United Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $177.89 / $238.38	Professional		$158.91	$177.89	$238.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $139.51 / $139.51 / $191.23	Professional		$139.51	$139.51	$191.23