Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.67 / $3,349.85 / $3,490.01	Professional		$356.67	$3,349.85	$3,490.01
HMSA Facility/Professional Professional Modifier Low / Median / High Price $4,061.13 / $4,252.49 / $5,288.10	Professional		$4,061.13	$4,252.49	$5,288.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $420.75 / $420.75 / $3,997.13	Professional		$420.75	$420.75	$3,997.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,629.88 / $1,629.88 / $2,902.20	Professional		$1,629.88	$1,629.88	$2,902.20
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $4,061.13 / $4,061.13 / $4,061.13	Professional		$4,061.13	$4,061.13	$4,061.13