Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,929.44 / $1,929.44 / $1,929.44	Facility		$1,929.44	$1,929.44	$1,929.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.14 / $1,414.26 / $2,475.19	Professional		$199.14	$1,414.26	$2,475.19
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,817.50 / $2,950.26 / $3,700.80	Professional		$2,817.50	$2,950.26	$3,700.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $201.67 / $201.67 / $2,074.35	Professional		$201.67	$201.67	$2,074.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,265.23 / $1,265.23 / $1,991.40	Professional		$1,265.23	$1,265.23	$1,991.40
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,817.50 / $2,817.50 / $2,817.50	Professional		$2,817.50	$2,817.50	$2,817.50