Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,747.00 / $2,898.00	Facility		$988.00	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.90 / $403.20 / $554.40	Professional		$111.90	$403.20	$554.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.86 / $141.94 / $167.80	Professional		$118.86	$141.94	$167.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,973.00 / $2,376.00 / $2,805.00	Professional		$1,973.00	$2,376.00	$2,805.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.86 / $152.63 / $206.67	Professional		$118.86	$152.63	$206.67
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $113.23 / $170.51	Professional		$21.31	$113.23	$170.51