Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.22 / $305.77 / $432.00	Facility		$82.22	$305.77	$432.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $554.59 / $554.59 / $554.59	Facility	25	$554.59	$554.59	$554.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.11 / $173.01 / $364.65	Professional		$114.11	$173.01	$364.65
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $106.62 / $174.00 / $365.49	Professional	25	$106.62	$174.00	$365.49
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 $121.08 / $179.13 / $279.87	Professional		$121.08	$179.13	$279.87
HMSA Facility/Professional Professional Modifier Low / Median / High Price $184.49 / $204.99 / $246.20	Professional		$184.49	$204.99	$246.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.32 / $187.65 / $238.83	Professional		$144.32	$187.65	$238.83
United Facility/Professional Professional Modifier Low / Median / High Price $115.86 / $205.53 / $262.62	Professional		$115.86	$205.53	$262.62
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $124.58 / $199.33 / $339.07	Professional		$124.58	$199.33	$339.07