Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,953.54 / $1,953.54 / $1,953.54	Facility		$1,953.54	$1,953.54	$1,953.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.56 / $1,350.00 / $2,279.92	Professional		$209.56	$1,350.00	$2,279.92
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,768.10 / $2,898.53 / $3,601.50	Professional		$2,768.10	$2,898.53	$3,601.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,250.73 / $2,250.73 / $2,250.73	Professional		$2,250.73	$2,250.73	$2,250.73
United Facility/Professional Professional Modifier Low / Median / High Price $1,248.21 / $1,953.54 / $2,222.60	Professional		$1,248.21	$1,953.54	$2,222.60
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,369.19 / $2,369.19 / $2,768.10	Professional		$2,369.19	$2,369.19	$2,768.10