Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,057.36 / $1,057.36 / $1,057.36	Facility		$1,057.36	$1,057.36	$1,057.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $707.88 / $929.05	Professional		$109.53	$707.88	$929.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,124.00 / $2,124.00 / $2,224.08	Professional		$2,124.00	$2,124.00	$2,224.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.97 / $177.97 / $177.97	Professional		$177.97	$177.97	$177.97
United Facility/Professional Professional Modifier Low / Median / High Price $575.39 / $1,057.36 / $1,083.05	Professional		$575.39	$1,057.36	$1,083.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,435.07 / $1,435.07 / $1,435.07	Professional		$1,435.07	$1,435.07	$1,435.07