Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,179.12 / $2,179.12 / $2,179.12	Facility		$2,179.12	$2,179.12	$2,179.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,460.50 / $1,825.63 / $3,017.34	Professional		$1,460.50	$1,825.63	$3,017.34
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,743.04 / $2,872.29 / $3,602.85	Professional		$2,743.04	$2,872.29	$3,602.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $196.33 / $2,468.73 / $3,840.26	Professional		$196.33	$2,468.73	$3,840.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,206.20 / $1,825.63 / $3,017.34	Professional		$1,206.20	$1,825.63	$3,017.34
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,872.62 / $2,285.35 / $2,743.04	Professional		$1,872.62	$2,285.35	$2,743.04