Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $112.20 / $162.18	Professional		$81.28	$112.20	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $134.90 / $239.88	Professional		$69.18	$134.90	$239.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $138.04 / $169.82	Professional		$123.03	$138.04	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.91 / $239.88	Professional		$123.03	$147.91	$239.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $251.19 / $257.04	Professional		$120.23	$251.19	$257.04