Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.67 / $43.67 / $43.67	Facility		$43.67	$43.67	$43.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $14.56 / $20.09	Professional		$10.53	$14.56	$20.09
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $18.01 / $18.01 / $18.01	Professional	25	$18.01	$18.01	$18.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $16.32 / $24.60	Professional		$12.03	$16.32	$24.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $16.18 / $17.98 / $21.05	Professional		$16.18	$17.98	$21.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $15.88 / $20.22	Professional		$12.62	$15.88	$20.22
United Facility/Professional Professional Modifier Low / Median / High Price $12.47 / $18.05 / $24.30	Professional		$12.47	$18.05	$24.30
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $13.91 / $18.98	Professional		$12.99	$13.91	$18.98