Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.46 / $1,147.29 / $1,147.29	Professional		$246.46	$1,147.29	$1,147.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.22 / $190.24 / $228.29	Professional		$155.22	$190.24	$228.29
HMSA Facility/Professional Professional Modifier Low / Median / High Price $275.93 / $316.70 / $415.88	Professional		$275.93	$316.70	$415.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.22 / $182.63 / $213.07	Professional		$155.22	$182.63	$213.07
United Facility/Professional Professional Modifier Low / Median / High Price $155.22 / $190.24 / $389.76	Professional		$155.22	$190.24	$389.76
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $124.49 / $206.29 / $399.80	Professional		$124.49	$206.29	$399.80