Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.50 / $2,747.00 / $2,898.00	Facility		$864.50	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.74 / $63.01 / $132.22	Professional		$47.74	$63.01	$132.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.50 / $122.50 / $122.50	Professional		$122.50	$122.50	$122.50
HMSA Facility/Professional Professional Modifier Low / Median / High Price $116.40 / $135.62 / $225.49	Professional		$116.40	$135.62	$225.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.52 / $202.96 / $202.96	Professional		$172.52	$202.96	$202.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $757.00 / $2,021.27 / $3,956.00	Professional		$757.00	$2,021.27	$3,956.00