Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.27 / $141.33 / $297.89	Facility	26	$81.27	$141.33	$297.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.86 / $102.86 / $102.86	Facility	26	$102.86	$102.86	$102.86
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $82.45 / $101.46 / $121.45	Professional	26	$82.45	$101.46	$121.45
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $121.35 / $136.00 / $260.77	Facility	26	$121.35	$136.00	$260.77