Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,187.43 / $1,396.98 / $1,396.98	Professional		$1,187.43	$1,396.98	$1,396.98
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,400.24 / $1,541.76 / $1,794.47	Professional		$1,400.24	$1,541.76	$1,794.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,065.83 / $1,241.76 / $1,448.72	Professional		$1,065.83	$1,241.76	$1,448.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,131.24 / $1,396.98 / $1,830.92	Professional		$1,131.24	$1,396.98	$1,830.92
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,029.15 / $1,606.93 / $2,941.13	Professional		$1,029.15	$1,606.93	$2,941.13