Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.90 / $64.56 / $129.69	Facility	26	$57.90	$64.56	$129.69
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $25.81 / $59.52 / $61.66	Professional	26	$25.81	$59.52	$61.66
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $38.28 / $50.55 / $55.38	Facility	26	$38.28	$50.55	$55.38