Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.65 / $102.52 / $419.31	Facility	26	$82.65	$102.52	$419.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.40 / $100.40 / $100.40	Facility	26	$100.40	$100.40	$100.40
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $78.90 / $99.94 / $123.25	Professional	26	$78.90	$99.94	$123.25
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $67.70 / $106.00 / $195.72	Facility	26	$67.70	$106.00	$195.72