Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $117.49 / $407.38	Facility	26	$57.54	$117.49	$407.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.85 / $74.13 / $107.15	Facility	26	$15.85	$74.13	$107.15
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $69.18 / $89.13	Professional	26	$54.95	$69.18	$89.13
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $114.82 / $141.25	Professional	26	$93.33	$114.82	$141.25