Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.73 / $120.56 / $154.56	Professional		$29.73	$120.56	$154.56
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $128.72 / $128.72 / $128.72	Professional	25	$128.72	$128.72	$128.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.49 / $275.49 / $342.88	Professional		$275.49	$275.49	$342.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $149.72 / $156.77 / $192.73	Professional		$149.72	$156.77	$192.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.46 / $158.94 / $165.58	Professional		$132.46	$158.94	$165.58
United Facility/Professional Professional Modifier Low / Median / High Price $136.97 / $165.58 / $204.98	Professional		$136.97	$165.58	$204.98
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $93.57 / $113.62 / $155.06	Professional		$93.57	$113.62	$155.06