Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,110.55 / $1,110.55 / $1,110.55	Facility		$1,110.55	$1,110.55	$1,110.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.42 / $902.06 / $1,296.08	Professional		$127.42	$902.06	$1,296.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,622.10 / $1,698.53 / $2,115.75	Professional		$1,622.10	$1,698.53	$2,115.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,279.49 / $1,279.49 / $1,279.49	Professional		$1,279.49	$1,279.49	$1,279.49
United Facility/Professional Professional Modifier Low / Median / High Price $745.75 / $1,110.55 / $1,327.90	Professional		$745.75	$1,110.55	$1,327.90
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,622.10 / $1,622.10 / $1,622.10	Professional		$1,622.10	$1,622.10	$1,622.10