Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.93 / $3,593.22 / $3,657.49	Professional		$390.93	$3,593.22	$3,657.49
HMSA Facility/Professional Professional Modifier Low / Median / High Price $4,281.80 / $4,483.56 / $5,574.80	Professional		$4,281.80	$4,483.56	$5,574.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $433.23 / $433.23 / $4,115.68	Professional		$433.23	$433.23	$4,115.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,747.10 / $1,747.10 / $3,110.93	Professional		$1,747.10	$1,747.10	$3,110.93
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $4,281.80 / $4,281.80 / $4,281.80	Professional		$4,281.80	$4,281.80	$4,281.80