Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.28 / $162.18 / $588.84	Facility	26	$81.28	$162.18	$588.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $107.15 / $151.36	Facility	26	$22.91	$107.15	$151.36
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $100.00 / $125.89	Professional	26	$81.28	$100.00	$125.89
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $144.54 / $177.83 / $204.17	Professional	26	$144.54	$177.83	$204.17