Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $124.26 / $125.00 / $274.91	Facility	26	$124.26	$125.00	$274.91
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $78.13 / $91.92 / $103.07	Professional	26	$78.13	$91.92	$103.07
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $84.44 / $84.44 / $101.00	Facility	26	$84.44	$84.44	$101.00