Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.59 / $323.63 / $789.65	Facility	26	$118.59	$323.63	$789.65
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $189.12 / $226.94 / $279.89	Professional	26	$189.12	$226.94	$279.89
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $256.02 / $329.98 / $503.89	Facility	26	$256.02	$329.98	$503.89