Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.43 / $166.83 / $231.96	Professional		$96.43	$166.83	$231.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.22 / $175.51 / $222.47	Professional		$143.22	$175.51	$222.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.44 / $168.49 / $196.57	Professional		$154.44	$168.49	$196.57
United Facility/Professional Professional Modifier Low / Median / High Price $143.22 / $175.51 / $253.54	Professional		$143.22	$175.51	$253.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $116.65 / $206.23 / $224.10	Professional		$116.65	$206.23	$224.10