Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $265.14 / $376.37 / $1,157.23	Facility	26	$265.14	$376.37	$1,157.23
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $152.08 / $182.50 / $225.08	Professional	26	$152.08	$182.50	$225.08
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $273.60 / $292.77 / $387.73	Facility	26	$273.60	$292.77	$387.73