Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.30 / $212.82 / $319.20	Facility		$46.30	$212.82	$319.20
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $216.23 / $226.88 / $259.13	Facility	25	$216.23	$226.88	$259.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $90.00 / $153.52	Professional		$31.58	$90.00	$153.52
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $52.80 / $93.39 / $160.00	Professional	25	$52.80	$93.39	$160.00
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 $45.63 / $81.84 / $141.06	Professional		$45.63	$81.84	$141.06
HMSA Facility/Professional Professional Modifier Low / Median / High Price $99.53 / $110.59 / $132.47	Professional		$99.53	$110.59	$132.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $97.58 / $131.66	Professional		$71.56	$97.58	$131.66
United Facility/Professional Professional Modifier Low / Median / High Price $62.81 / $101.56 / $121.26	Professional		$62.81	$101.56	$121.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $56.72 / $91.75 / $187.51	Professional		$56.72	$91.75	$187.51