Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.75 / $169.96 / $494.40	Professional		$93.75	$169.96	$494.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.76 / $186.76 / $186.76	Professional		$186.76	$186.76	$186.76
HMSA Facility/Professional Professional Modifier Low / Median / High Price $160.52 / $160.52 / $160.52	Professional		$160.52	$160.52	$160.52
United Facility/Professional Professional Modifier Low / Median / High Price $156.08 / $199.95 / $250.13	Professional		$156.08	$199.95	$250.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $128.68 / $151.38 / $175.09	Professional		$128.68	$151.38	$175.09