Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $160.58 / $181.15	Professional		$75.00	$160.58	$181.15
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $32.11 / $161.26 / $250.54	Professional	25	$32.11	$161.26	$250.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $88.38 / $193.43	Professional		$50.00	$88.38	$193.43
HMSA Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $156.65 / $195.81	Professional		$75.00	$156.65	$195.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.36 / $139.58 / $201.16	Professional		$102.36	$139.58	$201.16
United Facility/Professional Professional Modifier Low / Median / High Price $90.87 / $167.12 / $194.48	Professional		$90.87	$167.12	$194.48
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $73.63 / $115.28 / $191.03	Professional		$73.63	$115.28	$191.03