Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $795.59 / $795.59 / $795.59	Facility		$795.59	$795.59	$795.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.17 / $689.77 / $1,101.64	Professional		$615.17	$689.77	$1,101.64
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,001.49 / $1,048.68 / $1,315.43	Professional		$1,001.49	$1,048.68	$1,315.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.92 / $901.34 / $1,402.09	Professional		$60.92	$901.34	$1,402.09
United Facility/Professional Professional Modifier Low / Median / High Price $467.66 / $707.82 / $1,101.64	Professional		$467.66	$707.82	$1,101.64
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $832.73 / $834.40 / $876.95	Professional		$832.73	$834.40	$876.95