Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.74 / $110.77 / $130.32	Facility	26	$97.74	$110.77	$130.32
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $106.18 / $115.84 / $135.13	Professional	26	$106.18	$115.84	$135.13