Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.28 / $29.58 / $65.48	Facility	26	$23.28	$29.58	$65.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.01 / $15.01 / $15.01	Facility	26	$15.01	$15.01	$15.01
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $24.80 / $29.65 / $33.39	Professional	26	$24.80	$29.65	$33.39
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $21.43 / $26.13 / $34.84	Facility	26	$21.43	$26.13	$34.84
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $15.01 / $15.01 / $15.01	Facility	26	$15.01	$15.01	$15.01