Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.91 / $269.15	Professional		$123.03	$147.91	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $218.78	Professional		$138.04	$186.21	$218.78
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $144.54 / $154.88	Professional		$138.04	$144.54	$154.88