Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $81.28 / $302.00	Facility	26	$39.81	$81.28	$302.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $58.88 / $61.66	Professional	26	$44.67	$58.88	$61.66
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $67.61 / $93.33	Professional	26	$66.07	$67.61	$93.33