Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.59 / $261.62 / $631.79	Facility	26	$118.59	$261.62	$631.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $189.68 / $189.68 / $189.68	Facility	26	$189.68	$189.68	$189.68
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $151.22 / $186.82 / $222.91	Professional	26	$151.22	$186.82	$222.91
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $199.04 / $233.15 / $484.10	Facility	26	$199.04	$233.15	$484.10