Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.82 / $85.30 / $201.63	Facility	26	$46.82	$85.30	$201.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.00 / $60.00 / $60.00	Facility	26	$60.00	$60.00	$60.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $46.53 / $57.48 / $70.23	Professional	26	$46.53	$57.48	$70.23
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $75.00 / $82.73 / $169.80	Facility	26	$75.00	$82.73	$169.80