Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,039.21 / $1,039.21 / $1,039.21	Facility		$1,039.21	$1,039.21	$1,039.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.13 / $251.69 / $900.99	Professional		$88.13	$251.69	$900.99
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,039.21 / $1,039.21 / $1,088.18	Professional		$1,039.21	$1,039.21	$1,088.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $963.02 / $963.02 / $963.02	Professional		$963.02	$963.02	$963.02
United Facility/Professional Professional Modifier Low / Median / High Price $344.17 / $647.80 / $1,039.21	Professional		$344.17	$647.80	$1,039.21
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,301.80 / $1,301.80 / $1,301.80	Professional		$1,301.80	$1,301.80	$1,301.80