Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.59 / $191.61 / $459.34	Facility	26	$118.59	$191.61	$459.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $135.26 / $135.26 / $135.26	Facility	26	$135.26	$135.26	$135.26
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $106.17 / $131.16 / $158.52	Professional	26	$106.17	$131.16	$158.52
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $146.15 / $166.36 / $370.37	Facility	26	$146.15	$166.36	$370.37