Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.59 / $253.61 / $604.03	Facility	26	$118.59	$253.61	$604.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $179.34 / $179.34 / $179.34	Facility	26	$179.34	$179.34	$179.34
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $142.63 / $176.19 / $213.16	Professional	26	$142.63	$176.19	$213.16
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $198.76 / $237.15 / $481.62	Facility	26	$198.76	$237.15	$481.62