Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,162.90 / $1,162.90 / $1,162.90	Facility		$1,162.90	$1,162.90	$1,162.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.31 / $799.37 / $2,273.57	Professional		$133.31	$799.37	$2,273.57
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,698.20 / $1,778.22 / $2,214.30	Professional		$1,698.20	$1,778.22	$2,214.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,339.84 / $1,339.84 / $1,339.84	Professional		$1,339.84	$1,339.84	$1,339.84
United Facility/Professional Professional Modifier Low / Median / High Price $780.40 / $1,162.90 / $1,389.60	Professional		$780.40	$1,162.90	$1,389.60
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,410.36 / $1,410.36 / $1,698.20	Professional		$1,410.36	$1,410.36	$1,698.20