Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.51 / $154.51 / $154.51	Facility		$154.51	$154.51	$154.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.18 / $167.54 / $256.86	Professional		$115.18	$167.54	$256.86
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $216.61 / $216.61 / $240.52	Professional	25	$216.61	$216.61	$240.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.43 / $218.83 / $291.20	Professional		$135.43	$218.83	$291.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $210.94 / $242.10 / $279.64	Professional		$210.94	$242.10	$279.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.53 / $192.65 / $257.45	Professional		$113.53	$192.65	$257.45
United Facility/Professional Professional Modifier Low / Median / High Price $125.96 / $237.48 / $300.89	Professional		$125.96	$237.48	$300.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $173.39 / $258.73	Professional		$100.00	$173.39	$258.73