Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.70 / $2,254.90 / $2,793.05	Professional		$267.70	$2,254.90	$2,793.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $4,246.60 / $4,246.60 / $4,446.70	Professional		$4,246.60	$4,246.60	$4,446.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $336.74 / $336.74 / $3,199.03	Professional		$336.74	$336.74	$3,199.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,252.74 / $1,252.74 / $2,143.00	Professional		$1,252.74	$1,252.74	$2,143.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,249.47 / $3,249.47 / $3,249.47	Professional		$3,249.47	$3,249.47	$3,249.47