Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $115.81 / $206.14 / $589.98	Facility	26	$115.81	$206.14	$589.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $142.61 / $142.61 / $142.61	Facility	26	$142.61	$142.61	$142.61
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $110.57 / $140.49 / $174.79	Professional	26	$110.57	$140.49	$174.79
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $154.61 / $233.00 / $330.00	Facility	26	$154.61	$233.00	$330.00