Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.95 / $56.83 / $126.78	Facility	26	$29.95	$56.83	$126.78
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $33.22 / $39.86 / $49.17	Professional	26	$33.22	$39.86	$49.17
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $54.54 / $63.59 / $77.33	Facility	26	$54.54	$63.59	$77.33