Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $301.14 / $427.59 / $1,320.95	Facility	26	$301.14	$427.59	$1,320.95
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $173.69 / $208.43 / $257.06	Professional	26	$173.69	$208.43	$257.06
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $312.43 / $334.22 / $444.52	Facility	26	$312.43	$334.22	$444.52