Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,845.52 / $1,845.52 / $1,845.52	Facility		$1,845.52	$1,845.52	$1,845.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.49 / $1,208.78 / $1,856.27	Professional		$190.49	$1,208.78	$1,856.27
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,695.20 / $2,822.20 / $3,540.00	Professional		$2,695.20	$2,822.20	$3,540.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.89 / $192.89 / $1,832.50	Professional		$192.89	$192.89	$1,832.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,004.30 / $1,845.52 / $1,890.37	Professional		$1,004.30	$1,845.52	$1,890.37
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,928.95 / $1,928.95 / $2,695.20	Professional		$1,928.95	$1,928.95	$2,695.20