Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.59 / $155.65 / $315.58	Facility	26	$118.59	$155.65	$315.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.76 / $93.76 / $93.76	Facility	26	$93.76	$93.76	$93.76
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $73.17 / $90.38 / $109.91	Professional	26	$73.17	$90.38	$109.91
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $113.00 / $124.31 / $266.25	Facility	26	$113.00	$124.31	$266.25