Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $223.87 / $645.65	Facility	26	$117.49	$223.87	$645.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $114.82 / $165.96	Facility	26	$24.55	$114.82	$165.96
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $112.20 / $141.25	Professional	26	$91.20	$112.20	$141.25
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $186.21 / $218.78	Professional	26	$147.91	$186.21	$218.78