Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,229.36 / $1,229.36 / $1,229.36	Facility		$1,229.36	$1,229.36	$1,229.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.91 / $860.04 / $1,080.18	Professional		$126.91	$860.04	$1,080.18
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,246.85 / $2,246.85 / $2,352.71	Professional		$2,246.85	$2,246.85	$2,352.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.95 / $109.95 / $109.95	Professional		$109.95	$109.95	$109.95
United Facility/Professional Professional Modifier Low / Median / High Price $669.15 / $1,229.36 / $1,259.53	Professional		$669.15	$1,229.36	$1,259.53
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,518.14 / $1,518.14 / $1,518.14	Professional		$1,518.14	$1,518.14	$1,518.14