Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $54.95 / $109.65	Facility	26	$40.74	$54.95	$109.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $50.12 / $72.44	Facility	26	$10.96	$50.12	$72.44
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $54.95 / $69.18	Professional	26	$44.67	$54.95	$69.18
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $85.11 / $93.33	Professional	26	$67.61	$85.11	$93.33