Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.31 / $59.51 / $117.07	Facility	26	$52.31	$59.51	$117.07
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $41.75 / $49.12 / $59.66	Professional	26	$41.75	$49.12	$59.66
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $37.93 / $46.23 / $68.34	Facility	26	$37.93	$46.23	$68.34