Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.17 / $90.17 / $100.57	Facility	26	$90.17	$90.17	$100.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.26 / $46.26 / $46.26	Facility	26	$46.26	$46.26	$46.26
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $70.70 / $92.10 / $103.69	Professional	26	$70.70	$92.10	$103.69
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $65.95 / $79.38 / $93.80	Facility	26	$65.95	$79.38	$93.80
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $46.26 / $46.26 / $46.26	Facility	26	$46.26	$46.26	$46.26
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $354.01 / $354.01 / $354.01	Facility	26	$354.01	$354.01	$354.01