Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,255.55 / $1,255.55 / $1,255.55	Facility		$1,255.55	$1,255.55	$1,255.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $511.03 / $1,103.18	Professional		$125.89	$511.03	$1,103.18
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,941.60 / $1,941.60 / $2,033.09	Professional		$1,941.60	$1,941.60	$2,033.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.09 / $148.09 / $148.09	Professional		$148.09	$148.09	$148.09
United Facility/Professional Professional Modifier Low / Median / High Price $683.34 / $1,255.55 / $1,286.23	Professional		$683.34	$1,255.55	$1,286.23
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,311.70 / $1,311.70 / $1,311.70	Professional		$1,311.70	$1,311.70	$1,311.70