Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.28 / $172.27 / $242.54	Facility		$58.28	$172.27	$242.54
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $58.28 / $134.59 / $260.10	Facility	25	$58.28	$134.59	$260.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.09 / $125.00 / $239.00	Professional		$29.09	$125.00	$239.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $29.38 / $130.00 / $302.60	Professional	25	$29.38	$130.00	$302.60
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 $75.79 / $119.90 / $197.60	Professional		$75.79	$119.90	$197.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $127.22 / $153.08 / $186.81	Professional		$127.22	$153.08	$186.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.25 / $143.52 / $184.42	Professional		$105.25	$143.52	$184.42
United Facility/Professional Professional Modifier Low / Median / High Price $91.31 / $143.56 / $175.32	Professional		$91.31	$143.56	$175.32
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $88.39 / $154.06 / $262.51	Professional		$88.39	$154.06	$262.51