Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.37 / $51.65 / $122.15	Facility	26	$28.37	$51.65	$122.15
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $30.76 / $39.90 / $41.56	Professional	26	$30.76	$39.90	$41.56
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $37.21 / $37.21 / $57.00	Facility	26	$37.21	$37.21	$57.00