Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,120.10 / $1,120.10 / $1,120.10	Facility		$1,120.10	$1,120.10	$1,120.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.61 / $115.61 / $984.17	Professional		$115.61	$115.61	$984.17
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,046.60 / $2,046.60 / $2,143.04	Professional		$2,046.60	$2,046.60	$2,143.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.51 / $111.51 / $111.51	Professional		$111.51	$111.51	$111.51
United Facility/Professional Professional Modifier Low / Median / High Price $609.52 / $1,120.10 / $1,147.29	Professional		$609.52	$1,120.10	$1,147.29
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,382.68 / $1,382.68 / $1,382.68	Professional		$1,382.68	$1,382.68	$1,382.68