Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,256.46 / $2,256.46 / $2,256.46	Facility		$2,256.46	$2,256.46	$2,256.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,772.06 / $1,925.80 / $3,037.72	Professional		$1,772.06	$1,925.80	$3,037.72
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,761.56 / $2,891.68 / $3,603.72	Professional		$2,761.56	$2,891.68	$3,603.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,933.09 / $2,485.40 / $3,866.18	Professional		$1,933.09	$2,485.40	$3,866.18
United Facility/Professional Facility Modifier Low / Median / High Price $179.12 / $1,343.44 / $1,791.25	Facility		$179.12	$1,343.44	$1,791.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,172.54 / $2,027.22 / $3,037.72	Professional		$1,172.54	$2,027.22	$3,037.72
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,273.85 / $2,402.48 / $2,761.56	Professional		$2,273.85	$2,402.48	$2,761.56