Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $3,285.09 / $4,390.22 / $5,070.39	Facility	25	$3,285.09	$4,390.22	$5,070.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.24 / $232.70 / $740.02	Professional		$179.24	$232.70	$740.02
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $42.16 / $276.22 / $1,046.07	Professional	25	$42.16	$276.22	$1,046.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.60 / $311.60 / $744.38	Professional		$216.60	$311.60	$744.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $301.52 / $338.78 / $389.60	Professional		$301.52	$338.78	$389.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $226.95 / $302.58 / $385.11	Professional		$226.95	$302.58	$385.11
United Facility/Professional Professional Modifier Low / Median / High Price $213.03 / $317.39 / $455.70	Professional		$213.03	$317.39	$455.70
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $189.58 / $500.00 / $2,855.00	Professional		$189.58	$500.00	$2,855.00