Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.63 / $194.32 / $461.99	Facility	26	$106.63	$194.32	$461.99
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $137.06 / $137.06 / $137.06	Facility	26	$137.06	$137.06	$137.06
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $108.10 / $133.54 / $159.94	Professional	26	$108.10	$133.54	$159.94
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $174.03 / $229.12 / $436.07	Facility	26	$174.03	$229.12	$436.07