Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.88 / $2,673.00 / $3,365.36	Professional		$343.88	$2,673.00	$3,365.36
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,915.80 / $4,100.31 / $5,098.91	Professional		$3,915.80	$4,100.31	$5,098.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $405.74 / $405.74 / $3,854.53	Professional		$405.74	$405.74	$3,854.53
United Facility/Professional Professional Modifier Low / Median / High Price $1,571.51 / $1,571.51 / $2,798.27	Professional		$1,571.51	$1,571.51	$2,798.27
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,915.80 / $3,915.80 / $3,915.80	Professional		$3,915.80	$3,915.80	$3,915.80