Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $585.91 / $675.80 / $1,356.99	Facility	26	$585.91	$675.80	$1,356.99
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $437.72 / $614.07 / $699.04	Professional	26	$437.72	$614.07	$699.04
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $420.42 / $533.23 / $571.88	Facility	26	$420.42	$533.23	$571.88