Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.88 / $80.48 / $102.88	Professional		$39.88	$80.48	$102.88
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $76.28 / $84.69 / $98.10	Professional	25	$76.28	$84.69	$98.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.83 / $102.88 / $182.58	Professional		$70.83	$102.88	$182.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $81.12 / $91.14 / $104.81	Professional		$81.12	$91.14	$104.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.53 / $90.53 / $115.22	Professional		$81.53	$90.53	$115.22
United Facility/Professional Professional Modifier Low / Median / High Price $76.39 / $102.88 / $135.62	Professional		$76.39	$102.88	$135.62
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $212.50 / $285.00 / $375.00	Professional		$212.50	$285.00	$375.00