Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,049.89 / $1,049.89 / $1,049.89	Facility		$1,049.89	$1,049.89	$1,049.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.58 / $545.00 / $922.48	Professional		$59.58	$545.00	$922.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $116.96 / $116.96 / $116.96	Professional		$116.96	$116.96	$116.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.72 / $187.72 / $187.72	Professional		$187.72	$187.72	$187.72
United Facility/Professional Professional Modifier Low / Median / High Price $421.24 / $792.89 / $1,049.89	Professional		$421.24	$792.89	$1,049.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,713.01 / $1,713.01 / $1,713.01	Professional		$1,713.01	$1,713.01	$1,713.01