Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $160.75 / $291.04 / $587.07	Facility	26	$160.75	$291.04	$587.07
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $172.98 / $207.58 / $256.01	Professional	26	$172.98	$207.58	$256.01
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $240.15 / $312.00 / $448.26	Facility	26	$240.15	$312.00	$448.26