Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.67 / $165.75 / $359.20	Facility		$94.67	$165.75	$359.20
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $143.18 / $184.80 / $345.60	Facility	25	$143.18	$184.80	$345.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $23.39 / $51.45	Professional		$8.27	$23.39	$51.45
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $15.70 / $28.50 / $65.00	Professional	25	$15.70	$28.50	$65.00
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 $9.25 / $25.46 / $37.44	Professional		$9.25	$25.46	$37.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $29.93 / $33.25 / $40.08	Professional		$29.93	$33.25	$40.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $26.46 / $34.94	Professional		$9.47	$26.46	$34.94
United Facility/Professional Professional Modifier Low / Median / High Price $19.87 / $29.33 / $38.64	Professional		$19.87	$29.33	$38.64
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $32.90 / $68.50	Professional		$18.14	$32.90	$68.50