Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $112.20 / $407.38	Facility	26	$56.23	$112.20	$407.38
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $79.43 / $83.18	Professional	26	$60.26	$79.43	$83.18
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $91.20 / $123.03	Professional	26	$87.10	$91.20	$123.03