Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.59 / $251.81 / $598.78	Facility	26	$118.59	$251.81	$598.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $172.08 / $172.08 / $172.08	Facility	26	$172.08	$172.08	$172.08
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $136.63 / $168.78 / $208.96	Professional	26	$136.63	$168.78	$208.96
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $179.22 / $238.40 / $466.07	Facility	26	$179.22	$238.40	$466.07