Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.65 / $158.62 / $379.60	Facility	26	$88.65	$158.62	$379.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.90 / $113.90 / $113.90	Facility	26	$113.90	$113.90	$113.90
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $94.58 / $113.50 / $170.34	Professional	26	$94.58	$113.50	$170.34
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $144.21 / $165.97 / $240.18	Facility	26	$144.21	$165.97	$240.18