Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.00 / $125.00 / $337.00	Facility	26	$125.00	$125.00	$337.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $72.36 / $93.47 / $97.36	Professional	26	$72.36	$93.47	$97.36
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $87.23 / $117.96 / $119.04	Facility	26	$87.23	$117.96	$119.04