Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.91 / $219.50 / $342.79	Professional		$50.91	$219.50	$342.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.07 / $354.07 / $1,241.63	Professional		$247.07	$354.07	$1,241.63
HMSA Facility/Professional Professional Modifier Low / Median / High Price $286.88 / $329.27 / $370.66	Professional		$286.88	$329.27	$370.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $293.99 / $352.79 / $411.59	Professional		$293.99	$352.79	$411.59
United Facility/Professional Professional Modifier Low / Median / High Price $206.39 / $305.86 / $395.26	Professional		$206.39	$305.86	$395.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $218.14 / $264.89 / $361.49	Professional		$218.14	$264.89	$361.49