Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $134.90 / $489.78	Facility	26	$67.61	$134.90	$489.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $87.10 / $125.89	Facility	26	$18.62	$87.10	$125.89
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $85.11 / $107.15	Professional	26	$69.18	$85.11	$107.15
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $144.54 / $165.96	Professional	26	$114.82	$144.54	$165.96