Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.88 / $87.29 / $869.61	Professional		$83.88	$87.29	$869.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.45 / $817.38 / $849.48	Professional		$98.45	$817.38	$849.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $126.21 / $145.37 / $1,115.16	Professional		$126.21	$145.37	$1,115.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.47 / $747.54 / $951.41	Professional		$86.47	$747.54	$951.41
United Facility/Professional Professional Modifier Low / Median / High Price $693.17 / $885.87 / $1,288.71	Professional		$693.17	$885.87	$1,288.71
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $88.35 / $126.81 / $1,006.56	Professional		$88.35	$126.81	$1,006.56