Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.15 / $86.90 / $176.57	Facility	26	$72.15	$86.90	$176.57
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $55.94 / $79.42 / $90.41	Professional	26	$55.94	$79.42	$90.41
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $45.06 / $65.61 / $71.02	Facility	26	$45.06	$65.61	$71.02