Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.98 / $58.76 / $136.05	Facility	26	$31.98	$58.76	$136.05
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $34.88 / $45.35 / $47.24	Professional	26	$34.88	$45.35	$47.24
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $51.00 / $51.00 / $54.60	Facility	26	$51.00	$51.00	$54.60