Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $17.07 / $85.86	Professional		$12.61	$17.07	$85.86
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $22.78 / $22.78 / $22.78	Professional	25	$22.78	$22.78	$22.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $17.82 / $33.04	Professional		$12.20	$17.82	$33.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $30.89 / $35.54 / $46.55	Professional		$30.89	$35.54	$46.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $17.73 / $20.69	Professional		$15.08	$17.73	$20.69
United Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $18.48 / $42.70	Professional		$15.08	$18.48	$42.70
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.82 / $22.26 / $37.06	Professional		$15.82	$22.26	$37.06