Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.71 / $132.00 / $403.87	Professional		$94.71	$132.00	$403.87
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $97.82 / $193.61 / $421.11	Professional	25	$97.82	$193.61	$421.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.55 / $143.85 / $317.08	Professional		$101.55	$143.85	$317.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $129.02 / $170.94 / $190.12	Professional		$129.02	$170.94	$190.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.59 / $138.10 / $217.26	Professional		$126.59	$138.10	$217.26
United Facility/Professional Professional Modifier Low / Median / High Price $115.88 / $135.91 / $182.60	Professional		$115.88	$135.91	$182.60
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $105.12 / $490.00 / $2,101.00	Professional		$105.12	$490.00	$2,101.00