Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $13,928.00	Professional		$127.45	$127.45	$13,928.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $127.45	Professional		$127.45	$127.45	$127.45
HMSA Facility/Professional Professional Modifier Low / Median / High Price $194.44 / $194.44 / $194.44	Professional		$194.44	$194.44	$194.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.19 / $152.94 / $178.43	Professional		$140.19	$152.94	$178.43
United Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $159.81 / $191.18	Professional		$127.45	$159.81	$191.18
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $161.15 / $177.28	Professional		$127.45	$161.15	$177.28