Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $755.32 / $755.32 / $755.32	Facility		$755.32	$755.32	$755.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $75.70 / $663.66	Professional		$75.70	$75.70	$663.66
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,310.70 / $1,310.70 / $1,372.46	Professional		$1,310.70	$1,310.70	$1,372.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.11 / $63.11 / $63.11	Professional		$63.11	$63.11	$63.11
United Facility/Professional Professional Modifier Low / Median / High Price $411.08 / $755.32 / $773.76	Professional		$411.08	$755.32	$773.76
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $885.82 / $885.82 / $885.82	Professional		$885.82	$885.82	$885.82