Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.32 / $54.38 / $129.08	Facility	26	$29.32	$54.38	$129.08
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $30.78 / $39.86 / $41.53	Professional	26	$30.78	$39.86	$41.53
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $46.00 / $46.00 / $50.63	Facility	26	$46.00	$46.00	$50.63