Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $167.70 / $452.80	Facility		$36.00	$167.70	$452.80
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $138.60 / $138.60 / $185.10	Facility	25	$138.60	$138.60	$185.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.32 / $53.27 / $99.30	Professional		$32.32	$53.27	$99.30
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $37.50 / $60.78 / $95.48	Professional	25	$37.50	$60.78	$95.48
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 $26.68 / $51.20 / $88.29	Professional		$26.68	$51.20	$88.29
HMSA Facility/Professional Professional Modifier Low / Median / High Price $61.87 / $69.54 / $83.88	Professional		$61.87	$69.54	$83.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.17 / $58.86 / $82.40	Professional		$38.17	$58.86	$82.40
United Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $66.20 / $82.77	Professional		$36.54	$66.20	$82.77
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $68.50 / $116.80	Professional		$40.86	$68.50	$116.80