Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.81 / $1,047.81 / $1,047.81	Facility		$1,047.81	$1,047.81	$1,047.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.06 / $469.00 / $920.66	Professional		$105.06	$469.00	$920.66
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,148.30 / $2,148.30 / $2,249.53	Professional		$2,148.30	$2,148.30	$2,249.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.06 / $117.06 / $117.06	Professional		$117.06	$117.06	$117.06
United Facility/Professional Professional Modifier Low / Median / High Price $570.41 / $570.41 / $1,073.67	Professional		$570.41	$570.41	$1,073.67
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,451.58 / $1,451.58 / $1,451.58	Professional		$1,451.58	$1,451.58	$1,451.58