Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.04 / $42.53 / $85.98	Facility	26	$37.04	$42.53	$85.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.67 / $19.67 / $19.67	Facility	26	$19.67	$19.67	$19.67
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $32.57 / $38.92 / $43.82	Professional	26	$32.57	$38.92	$43.82
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $25.19 / $33.57 / $34.84	Facility	26	$25.19	$33.57	$34.84
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $19.67 / $19.67 / $19.67	Facility	26	$19.67	$19.67	$19.67
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $782.93 / $782.93 / $782.93	Facility	26	$782.93	$782.93	$782.93