Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.84 / $902.84 / $902.84	Facility		$902.84	$902.84	$902.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $581.42 / $705.09 / $1,243.65	Professional		$581.42	$705.09	$1,243.65
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,130.58 / $1,183.85 / $1,475.15	Professional		$1,130.58	$1,183.85	$1,475.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.15 / $1,017.53 / $1,582.83	Professional		$69.15	$1,017.53	$1,582.83
United Facility/Professional Professional Modifier Low / Median / High Price $440.56 / $727.69 / $1,243.65	Professional		$440.56	$727.69	$1,243.65
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $923.48 / $934.39 / $1,070.93	Professional		$923.48	$934.39	$1,070.93