Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.76 / $270.00 / $363.10	Professional		$130.76	$270.00	$363.10
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $246.91 / $246.91 / $246.91	Professional	25	$246.91	$246.91	$246.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.93 / $296.29 / $427.92	Professional		$190.93	$296.29	$427.92
HMSA Facility/Professional Professional Modifier Low / Median / High Price $285.25 / $327.39 / $378.18	Professional		$285.25	$327.39	$378.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.10 / $261.43 / $348.58	Professional		$154.10	$261.43	$348.58
United Facility/Professional Professional Modifier Low / Median / High Price $296.29 / $363.10 / $397.16	Professional		$296.29	$363.10	$397.16
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $255.55 / $348.75	Professional		$20.00	$255.55	$348.75