Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,077.31 / $1,077.31 / $1,077.31	Facility		$1,077.31	$1,077.31	$1,077.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.71 / $552.13 / $946.57	Professional		$59.71	$552.13	$946.57
HMSA Facility/Professional Professional Modifier Low / Median / High Price $113.65 / $113.65 / $113.65	Professional		$113.65	$113.65	$113.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $210.69 / $210.69 / $210.69	Professional		$210.69	$210.69	$210.69
United Facility/Professional Professional Modifier Low / Median / High Price $431.98 / $813.10 / $1,077.31	Professional		$431.98	$813.10	$1,077.31
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,664.39 / $1,664.39 / $1,664.39	Professional		$1,664.39	$1,664.39	$1,664.39