Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $39.81	Facility		$28.84	$28.84	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $134.90 / $457.09	Professional		$52.48	$134.90	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $239.88	Professional		$131.83	$194.98	$239.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $199.53 / $245.47	Professional		$144.54	$199.53	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $218.78 / $257.04	Professional		$147.91	$218.78	$257.04
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $45.71 / $51.29	Professional		$26.92	$45.71	$51.29