Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.06 / $104.91 / $224.16	Facility	26	$58.06	$104.91	$224.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.83 / $74.83 / $74.83	Facility	26	$74.83	$74.83	$74.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $58.83 / $72.67 / $87.08	Professional	26	$58.83	$72.67	$87.08
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $94.00 / $119.00 / $237.65	Facility	26	$94.00	$119.00	$237.65