Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.59 / $92.13 / $185.33	Facility	26	$80.59	$92.13	$185.33
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $59.89 / $84.21 / $95.87	Professional	26	$59.89	$84.21	$95.87
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $55.23 / $72.95 / $77.94	Facility	26	$55.23	$72.95	$77.94