Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.85 / $108.27 / $627.79	Professional		$83.85	$108.27	$627.79
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $21.19 / $270.64 / $818.00	Professional	25	$21.19	$270.64	$818.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.38 / $140.79 / $322.22	Professional		$102.38	$140.79	$322.22
HMSA Facility/Professional Professional Modifier Low / Median / High Price $132.41 / $148.77 / $171.09	Professional		$132.41	$148.77	$171.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.69 / $129.62 / $155.03	Professional		$113.69	$129.62	$155.03
United Facility/Professional Professional Modifier Low / Median / High Price $101.21 / $138.26 / $193.64	Professional		$101.21	$138.26	$193.64
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $85.00 / $121.92	Professional	25	$80.00	$85.00	$121.92
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $95.23 / $144.85 / $2,821.00	Professional		$95.23	$144.85	$2,821.00