Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.54 / $22.34 / $54.01	Facility	26	$12.54	$22.34	$54.01
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $13.42 / $17.39 / $18.11	Professional	26	$13.42	$17.39	$18.11
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $16.51 / $20.00 / $21.96	Facility	26	$16.51	$20.00	$21.96