Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $72.44 / $309.03	Facility	26	$67.61	$72.44	$309.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $87.10 / $125.89	Facility	26	$18.62	$87.10	$125.89
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $81.28 / $102.33	Professional	26	$64.57	$81.28	$102.33
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $165.96 / $165.96 / $165.96	Professional	26	$165.96	$165.96	$165.96