Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $144.05 / $170.29 / $345.61	Facility	26	$144.05	$170.29	$345.61
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $111.78 / $158.60 / $178.57	Professional	26	$111.78	$158.60	$178.57
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $93.99 / $129.88 / $141.37	Facility	26	$93.99	$129.88	$141.37