Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.08 / $176.46 / $430.95	Facility	26	$104.08	$176.46	$430.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $131.86 / $131.86 / $131.86	Facility	26	$131.86	$131.86	$131.86
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $106.63 / $131.41 / $156.11	Professional	26	$106.63	$131.41	$156.11
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $152.25 / $181.00 / $337.72	Facility	26	$152.25	$181.00	$337.72