Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $147.91 / $147.91 / $173.78	Facility	26	$147.91	$147.91	$173.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $177.83 / $257.04	Facility	26	$38.90	$177.83	$257.04
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $186.21 / $245.47	Professional	26	$147.91	$186.21	$245.47
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $218.78 / $257.04 / $275.42	Professional	26	$218.78	$257.04	$275.42