Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $58.88 / $58.88	Facility	26	$38.02	$58.88	$58.88
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $50.12 / $60.26	Professional	26	$39.81	$50.12	$60.26
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $45.71 / $67.61	Facility	26	$38.02	$45.71	$67.61