Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.65 / $122.81 / $292.86	Facility	26	$67.65	$122.81	$292.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.50 / $87.50 / $87.50	Facility	26	$87.50	$87.50	$87.50
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $68.81 / $85.00 / $101.48	Professional	26	$68.81	$85.00	$101.48
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $121.62 / $136.00 / $250.47	Facility	26	$121.62	$136.00	$250.47