Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.20 / $111.12 / $260.58	Facility	26	$60.20	$111.12	$260.58
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $66.14 / $85.72 / $89.29	Professional	26	$66.14	$85.72	$89.29
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $99.00 / $99.00 / $111.89	Facility	26	$99.00	$99.00	$111.89