Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $965.14 / $965.14 / $965.14	Facility		$965.14	$965.14	$965.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.85 / $867.37 / $1,126.15	Professional		$103.85	$867.37	$1,126.15
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,369.30 / $1,433.82 / $1,781.55	Professional		$1,369.30	$1,433.82	$1,781.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,111.73 / $1,111.73 / $1,111.73	Professional		$1,111.73	$1,111.73	$1,111.73
United Facility/Professional Professional Modifier Low / Median / High Price $617.98 / $965.14 / $1,100.40	Professional		$617.98	$965.14	$1,100.40
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,369.30 / $1,369.30 / $1,369.30	Professional		$1,369.30	$1,369.30	$1,369.30