Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.71 / $436.52 / $501.19	Facility	26	$104.71	$436.52	$501.19
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $309.03 / $407.38 / $512.86	Professional	26	$309.03	$407.38	$512.86
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $323.59 / $389.05 / $407.38	Facility	26	$323.59	$389.05	$407.38