Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.04 / $59.40 / $133.94	Facility	26	$57.04	$59.40	$133.94
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $48.05 / $56.53 / $68.62	Professional	26	$48.05	$56.53	$68.62
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $38.76 / $52.00 / $53.60	Facility	26	$38.76	$52.00	$53.60