Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.35 / $89.82 / $216.92	Facility	26	$49.35	$89.82	$216.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.56 / $63.56 / $63.56	Facility	26	$63.56	$63.56	$63.56
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $50.07 / $61.86 / $74.03	Professional	26	$50.07	$61.86	$74.03
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $75.00 / $81.77 / $173.87	Facility	26	$75.00	$81.77	$173.87