Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.62 / $57.91 / $126.23	Facility	26	$55.62	$57.91	$126.23
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $45.83 / $53.92 / $65.27	Professional	26	$45.83	$53.92	$65.27
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $37.31 / $50.02 / $52.26	Facility	26	$37.31	$50.02	$52.26