Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $441.20 / $489.09 / $987.08	Facility	26	$441.20	$489.09	$987.08
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $319.77 / $451.16 / $507.96	Professional	26	$319.77	$451.16	$507.96
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $294.08 / $389.55 / $410.04	Facility	26	$294.08	$389.55	$410.04