Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.61 / $130.88 / $164.25	Professional		$27.61	$130.88	$164.25
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $31.36 / $138.03 / $195.19	Professional	25	$31.36	$138.03	$195.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $79.00 / $164.25	Professional		$50.00	$79.00	$164.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $130.24 / $162.81	Professional		$75.00	$130.24	$162.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.81 / $112.92 / $170.82	Professional		$82.81	$112.92	$170.82
United Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $141.91 / $164.39	Professional		$64.00	$141.91	$164.39
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $59.88 / $97.58 / $161.69	Professional		$59.88	$97.58	$161.69