Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.59 / $610.10 / $1,215.17	Facility	26	$118.59	$610.10	$1,215.17
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $169.02 / $370.58 / $370.58	Professional	26	$169.02	$370.58	$370.58