Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.86 / $260.25 / $354.60	Facility		$67.86	$260.25	$354.60
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $228.31 / $228.31 / $228.31	Facility	25	$228.31	$228.31	$228.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.95 / $180.42 / $406.00	Professional		$80.95	$180.42	$406.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $63.30 / $180.42 / $507.65	Professional	25	$63.30	$180.42	$507.65
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 $108.27 / $170.16 / $276.55	Professional		$108.27	$170.16	$276.55
HMSA Facility/Professional Professional Modifier Low / Median / High Price $178.22 / $213.81 / $260.91	Professional		$178.22	$213.81	$260.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.15 / $202.75 / $258.05	Professional		$156.15	$202.75	$258.05
United Facility/Professional Professional Modifier Low / Median / High Price $119.16 / $199.07 / $260.95	Professional		$119.16	$199.07	$260.95
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $129.05 / $216.12 / $367.59	Professional		$129.05	$216.12	$367.59