Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $728.69 / $728.69 / $806.21	Facility	26	$728.69	$728.69	$806.21
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $369.73 / $369.73 / $369.73	Facility	26	$369.73	$369.73	$369.73
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $569.11 / $742.04 / $836.10	Professional	26	$569.11	$742.04	$836.10
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $465.12 / $617.44 / $647.89	Facility	26	$465.12	$617.44	$647.89
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $369.73 / $369.73 / $369.73	Facility	26	$369.73	$369.73	$369.73