Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $26.30 / $72.44	Professional		$10.47	$26.30	$72.44
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $141.25 / $141.25 / $141.25	Professional	25	$141.25	$141.25	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $54.95 / $58.88	Professional		$23.44	$54.95	$58.88
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $47.86 / $53.70	Professional		$21.88	$47.86	$53.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $37.15 / $66.07	Professional		$12.02	$37.15	$66.07
Moda Health Facility/Professional Professional Modifier 25 Low / Median / High Price $12.30 / $12.30 / $141.25	Professional	25	$12.30	$12.30	$141.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $48.98 / $79.43	Professional		$21.38	$48.98	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $31.62 / $60.26	Professional		$14.45	$31.62	$60.26