Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.08 / $130.66 / $200.22	Professional		$100.08	$130.66	$200.22
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $170.76 / $170.76 / $170.76	Professional	25	$170.76	$170.76	$170.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $172.52 / $231.34	Professional		$147.90	$172.52	$231.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.90 / $186.05 / $236.80	Professional		$141.90	$186.05	$236.80
United Facility/Professional Professional Modifier Low / Median / High Price $142.13 / $210.68 / $267.54	Professional		$142.13	$210.68	$267.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $179.10 / $179.10 / $179.10	Professional		$179.10	$179.10	$179.10