Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $123.03 / $213.80	Professional		$75.86	$123.03	$213.80
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $77.62 / $144.54 / $208.93	Professional	25	$77.62	$144.54	$208.93
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $123.03 / $123.03 / $123.03	Professional	52	$123.03	$123.03	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $181.97	Professional		$117.49	$117.49	$181.97
HMSA Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $190.55	Professional		$141.25	$165.96	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $173.78 / $218.78	Professional		$144.54	$173.78	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $186.21	Professional		$100.00	$138.04	$186.21