Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,496.13 / $1,496.13 / $1,496.13	Facility		$1,496.13	$1,496.13	$1,496.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,116.58 / $1,297.14 / $1,978.46	Professional		$1,116.58	$1,297.14	$1,978.46
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,798.60 / $1,883.35 / $2,340.23	Professional		$1,798.60	$1,883.35	$2,340.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,255.16 / $1,613.77 / $2,510.31	Professional		$1,255.16	$1,613.77	$2,510.31
United Facility/Professional Professional Modifier Low / Median / High Price $804.28 / $1,432.13 / $1,978.46	Professional		$804.28	$1,432.13	$1,978.46
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,476.74 / $1,560.16 / $1,798.60	Professional		$1,476.74	$1,560.16	$1,798.60