Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $340.13 / $393.34 / $789.62	Facility	26	$340.13	$393.34	$789.62
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $254.15 / $356.43 / $405.75	Professional	26	$254.15	$356.43	$405.75
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $234.50 / $309.61 / $336.05	Facility	26	$234.50	$309.61	$336.05