Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.07 / $103.29 / $247.18	Facility	26	$57.07	$103.29	$247.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.48 / $74.48 / $74.48	Facility	26	$74.48	$74.48	$74.48
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $58.17 / $71.84 / $85.60	Professional	26	$58.17	$71.84	$85.60
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $94.00 / $104.85 / $219.00	Facility	26	$94.00	$104.85	$219.00