Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $684.71 / $786.96 / $1,579.99	Facility	26	$684.71	$786.96	$1,579.99
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $510.46 / $716.04 / $815.12	Professional	26	$510.46	$716.04	$815.12
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $489.51 / $621.83 / $669.12	Facility	26	$489.51	$621.83	$669.12