Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.77 / $71.06 / $227.00	Professional		$53.77	$71.06	$227.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $110.50 / $219.06 / $231.73	Professional	25	$110.50	$219.06	$231.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.49 / $84.59 / $187.36	Professional		$59.49	$84.59	$187.36
HMSA Facility/Professional Professional Modifier Low / Median / High Price $101.12 / $115.55 / $132.88	Professional		$101.12	$115.55	$132.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.44 / $81.20 / $217.26	Professional		$74.44	$81.20	$217.26
United Facility/Professional Professional Modifier Low / Median / High Price $60.90 / $79.68 / $99.83	Professional		$60.90	$79.68	$99.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $62.20 / $349.00 / $1,440.00	Professional		$62.20	$349.00	$1,440.00