Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $753.25 / $753.25 / $753.25	Facility		$753.25	$753.25	$753.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.52 / $75.52 / $661.83	Professional		$75.52	$75.52	$661.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,197.45 / $1,197.45 / $1,253.86	Professional		$1,197.45	$1,197.45	$1,253.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.20 / $96.20 / $96.20	Professional		$96.20	$96.20	$96.20
United Facility/Professional Professional Modifier Low / Median / High Price $409.93 / $753.25 / $771.60	Professional		$409.93	$753.25	$771.60
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $809.25 / $809.25 / $809.25	Professional		$809.25	$809.25	$809.25