Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.27 / $3,738.00 / $5,521.00	Facility		$891.27	$3,738.00	$5,521.00
HMSA Facility/Professional Facility Modifier Low / Median / High Price $1,398.03 / $1,398.03 / $1,398.03	Facility		$1,398.03	$1,398.03	$1,398.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $280.00	Facility		$110.00	$110.00	$280.00
United Facility/Professional Facility Modifier Low / Median / High Price $891.27 / $1,200.00 / $1,200.00	Facility		$891.27	$1,200.00	$1,200.00
University Health Alliance Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $110.00	Facility		$110.00	$110.00	$110.00