Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,527.46 / $9,923.65 / $13,275.38	Professional		$1,527.46	$9,923.65	$13,275.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $14,408.00 / $15,086.90 / $15,086.90	Professional		$14,408.00	$15,086.90	$15,086.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,196.45 / $1,196.45 / $11,366.28	Professional		$1,196.45	$1,196.45	$11,366.28
United Facility/Professional Professional Modifier Low / Median / High Price $6,728.01 / $6,728.01 / $10,183.07	Professional		$6,728.01	$6,728.01	$10,183.07
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $14,408.00 / $14,408.00 / $14,408.00	Professional		$14,408.00	$14,408.00	$14,408.00