Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $209.09 / $218.25 / $489.85	Facility	26	$209.09	$218.25	$489.85
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $177.41 / $208.71 / $253.01	Professional	26	$177.41	$208.71	$253.01
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $144.06 / $193.63 / $198.99	Facility	26	$144.06	$193.63	$198.99