Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.86 / $58.86 / $86.20	Professional		$58.86	$58.86	$86.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.72 / $91.72 / $91.72	Facility		$91.72	$91.72	$91.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.84 / $112.46 / $194.93	Professional		$79.84	$112.46	$194.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $35.32 / $197.56 / $228.80	Professional		$35.32	$197.56	$228.80
United Facility/Professional Professional Modifier Low / Median / High Price $110.50 / $203.96 / $254.96	Professional		$110.50	$203.96	$254.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $224.39 / $273.70	Professional		$119.00	$224.39	$273.70