Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $41.93 / $100.02	Facility	26	$22.91	$41.93	$100.02
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $25.52 / $33.07 / $34.45	Professional	26	$25.52	$33.07	$34.45
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $30.31 / $30.31 / $38.00	Facility	26	$30.31	$30.31	$38.00