Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.58 / $59.51 / $115.24	Facility	26	$51.58	$59.51	$115.24
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $41.14 / $48.40 / $58.73	Professional	26	$41.14	$48.40	$58.73
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $37.38 / $45.56 / $68.34	Facility	26	$37.38	$45.56	$68.34