Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.61 / $384.98 / $534.83	Facility		$278.61	$384.98	$534.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.97 / $225.00 / $595.29	Professional		$156.97	$225.00	$595.29
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $155.31 / $251.90 / $697.00	Professional	25	$155.31	$251.90	$697.00
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 $158.32 / $229.05 / $351.58	Professional		$158.32	$229.05	$351.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $235.19 / $265.92 / $324.50	Professional		$235.19	$265.92	$324.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $196.33 / $247.02 / $314.38	Professional		$196.33	$247.02	$314.38
United Facility/Professional Professional Modifier Low / Median / High Price $172.74 / $266.45 / $331.04	Professional		$172.74	$266.45	$331.04
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $80.00 / $88.00	Professional	25	$80.00	$80.00	$88.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $164.51 / $263.22 / $447.71	Professional		$164.51	$263.22	$447.71