Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $453.18 / $645.91 / $1,990.84	Facility	26	$453.18	$645.91	$1,990.84
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $261.95 / $314.33 / $387.69	Professional	26	$261.95	$314.33	$387.69
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $470.70 / $503.56 / $668.03	Facility	26	$470.70	$503.56	$668.03