Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $819.44 / $819.44 / $819.44	Facility		$819.44	$819.44	$819.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.33 / $407.96 / $824.27	Professional		$64.33	$407.96	$824.27
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,026.30 / $1,074.66 / $1,339.05	Professional		$1,026.30	$1,074.66	$1,339.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $813.73 / $813.73 / $813.73	Professional		$813.73	$813.73	$813.73
United Facility/Professional Professional Modifier Low / Median / High Price $320.39 / $603.05 / $819.44	Professional		$320.39	$603.05	$819.44
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $856.56 / $856.56 / $1,026.30	Professional		$856.56	$856.56	$1,026.30