Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,742.06 / $1,742.06 / $1,742.06	Facility		$1,742.06	$1,742.06	$1,742.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.19 / $190.23 / $1,530.65	Professional		$144.19	$190.23	$1,530.65
HMSA Facility/Professional Professional Modifier Low / Median / High Price $202.98 / $202.98 / $202.98	Professional		$202.98	$202.98	$202.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.46 / $190.46 / $190.46	Professional		$190.46	$190.46	$190.46
United Facility/Professional Professional Modifier Low / Median / High Price $739.52 / $1,391.98 / $1,742.06	Professional		$739.52	$1,391.98	$1,742.06