Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $120.23 / $436.52	Facility	26	$60.26	$120.23	$436.52
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $87.10 / $91.20	Professional	26	$66.07	$87.10	$91.20
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $107.15 / $144.54	Professional	26	$104.71	$107.15	$144.54