Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.70 / $860.63 / $1,491.06	Professional		$256.70	$860.63	$1,491.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.29 / $147.25 / $255.12	Professional	26	$48.29	$147.25	$255.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $189.86 / $713.38 / $1,235.94	Professional	TC	$189.86	$713.38	$1,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $404.36 / $639.00 / $639.00	Professional		$404.36	$639.00	$639.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $66.93 / $146.97 / $146.97	Professional	26	$66.93	$146.97	$146.97
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $337.69 / $492.03 / $492.03	Professional	TC	$337.69	$492.03	$492.03
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $51.82 / $63.47 / $135.04	Facility	26	$51.82	$63.47	$135.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $68.37 / $322.00 / $500.00	Professional		$68.37	$322.00	$500.00