Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,442.51 / $1,442.51 / $1,442.51	Facility		$1,442.51	$1,442.51	$1,442.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.88 / $396.70 / $1,267.44	Professional		$148.88	$396.70	$1,267.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,611.94 / $2,611.94 / $2,735.03	Professional		$2,611.94	$2,611.94	$2,735.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.88 / $126.88 / $126.88	Professional		$126.88	$126.88	$126.88
United Facility/Professional Professional Modifier Low / Median / High Price $784.96 / $1,442.51 / $1,477.51	Professional		$784.96	$1,442.51	$1,477.51
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,765.14 / $1,765.14 / $1,765.14	Professional		$1,765.14	$1,765.14	$1,765.14