Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.64 / $62.58 / $150.69	Facility	26	$34.64	$62.58	$150.69
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $37.96 / $49.28 / $51.34	Professional	26	$37.96	$49.28	$51.34
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $58.76 / $58.76 / $69.00	Facility	26	$58.76	$58.76	$69.00