Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $408.56 / $408.56 / $419.81	Facility	26	$408.56	$408.56	$419.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $194.40 / $194.40 / $194.40	Facility	26	$194.40	$194.40	$194.40
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $298.60 / $387.91 / $436.74	Professional	26	$298.60	$387.91	$436.74
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $258.72 / $334.01 / $361.13	Facility	26	$258.72	$334.01	$361.13
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $194.40 / $194.40 / $194.40	Facility	26	$194.40	$194.40	$194.40