Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.05 / $128.05 / $128.05	Facility	26	$128.05	$128.05	$128.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $200.55 / $200.55 / $200.55	Facility	26	$200.55	$200.55	$200.55
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $128.05 / $159.57 / $370.44	Professional	26	$128.05	$159.57	$370.44