Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.85 / $82.52 / $197.54	Facility	26	$45.85	$82.52	$197.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.98 / $58.98 / $58.98	Facility	26	$58.98	$58.98	$58.98
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $45.53 / $56.25 / $68.77	Professional	26	$45.53	$56.25	$68.77
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $74.00 / $90.59 / $169.50	Facility	26	$74.00	$90.59	$169.50