Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $184.84 / $211.27 / $426.99	Facility	26	$184.84	$211.27	$426.99
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.61 / $97.61 / $97.61	Facility	26	$97.61	$97.61	$97.61
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $162.01 / $187.24 / $217.96	Professional	26	$162.01	$187.24	$217.96
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $126.42 / $166.99 / $172.72	Facility	26	$126.42	$166.99	$172.72
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $97.61 / $97.61 / $97.61	Facility	26	$97.61	$97.61	$97.61