Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $354.62 / $354.62 / $386.68	Facility	26	$354.62	$354.62	$386.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $178.90 / $178.90 / $178.90	Facility	26	$178.90	$178.90	$178.90
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $272.68 / $354.08 / $398.66	Professional	26	$272.68	$354.08	$398.66
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $227.85 / $306.30 / $322.91	Facility	26	$227.85	$306.30	$322.91
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $178.90 / $178.90 / $178.90	Facility	26	$178.90	$178.90	$178.90