Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.14 / $111.69 / $238.65	Facility	26	$65.14	$111.69	$238.65
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $66.80 / $80.16 / $98.86	Professional	26	$66.80	$80.16	$98.86
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $96.57 / $125.29 / $677.10	Facility	26	$96.57	$125.29	$677.10