Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $95.00 / $95.00	Professional		$95.00	$95.00	$95.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $95.00 / $95.00	Facility		$95.00	$95.00	$95.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.19 / $75.19 / $75.19	Professional		$75.19	$75.19	$75.19
HMSA Facility/Professional Professional Modifier Low / Median / High Price $93.46 / $105.00 / $109.95	Professional		$93.46	$105.00	$109.95
United Facility/Professional Professional Modifier Low / Median / High Price $75.19 / $75.19 / $75.19	Professional		$75.19	$75.19	$75.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $80.00 / $82.88	Professional		$75.00	$80.00	$82.88