Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.86 / $74.59 / $178.88	Facility	26	$40.86	$74.59	$178.88
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $44.84 / $58.16 / $60.59	Professional	26	$44.84	$58.16	$60.59
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $70.38 / $70.38 / $82.00	Facility	26	$70.38	$70.38	$82.00