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 / $390.58	Facility	26	$125.00	$125.00	$390.58
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $99.52 / $128.75 / $134.11	Professional	26	$99.52	$128.75	$134.11
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $159.75 / $159.75 / $159.75	Facility	26	$159.75	$159.75	$159.75