Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.83 / $83.17 / $200.20	Facility	26	$45.83	$83.17	$200.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.30 / $59.30 / $59.30	Facility	26	$59.30	$59.30	$59.30
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $46.20 / $57.07 / $68.75	Professional	26	$46.20	$57.07	$68.75
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $74.00 / $82.73 / $170.82	Facility	26	$74.00	$82.73	$170.82