Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $171.23 / $6,359.85	Professional		$164.59	$171.23	$6,359.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $164.59	Professional		$164.59	$164.59	$164.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $242.20 / $242.20 / $242.20	Professional		$242.20	$242.20	$242.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.05 / $197.51 / $230.42	Professional		$181.05	$197.51	$230.42
United Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $199.07 / $246.89	Professional		$164.59	$199.07	$246.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $168.25 / $205.10 / $217.04	Professional		$168.25	$205.10	$217.04