Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.68 / $67.50 / $254.25	Facility		$56.68	$67.50	$254.25
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $241.13 / $241.13 / $254.25	Facility	25	$241.13	$241.13	$254.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.93 / $116.18 / $262.27	Professional		$65.93	$116.18	$262.27
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $73.84 / $118.52 / $274.41	Professional	25	$73.84	$118.52	$274.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.00 / $148.00 / $148.00	Facility		$148.00	$148.00	$148.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.64 / $120.67 / $183.93	Professional		$74.64	$120.67	$183.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $124.54 / $138.38 / $165.80	Professional		$124.54	$138.38	$165.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.33 / $120.45 / $160.30	Professional		$88.33	$120.45	$160.30
United Facility/Professional Professional Modifier Low / Median / High Price $87.87 / $134.49 / $173.52	Professional		$87.87	$134.49	$173.52
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $73.44 / $125.18 / $233.99	Professional		$73.44	$125.18	$233.99