Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.76 / $93.58 / $145.41	Professional		$39.76	$93.58	$145.41
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $91.42 / $97.52 / $134.13	Professional	25	$91.42	$97.52	$134.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.17 / $69.00 / $116.39	Professional		$41.17	$69.00	$116.39
HMSA Facility/Professional Professional Modifier Low / Median / High Price $74.66 / $90.16 / $112.69	Professional		$74.66	$90.16	$112.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $75.00 / $121.04	Professional		$55.00	$75.00	$121.04
United Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $98.85 / $116.39	Professional		$42.00	$98.85	$116.39
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $41.55 / $70.17 / $114.55	Professional		$41.55	$70.17	$114.55