Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $57.54 / $66.07	Facility	26	$36.31	$57.54	$66.07
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $56.23 / $63.10	Professional	26	$26.92	$56.23	$63.10
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $51.29 / $53.70	Facility	26	$41.69	$51.29	$53.70