Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.16 / $75.68 / $171.45	Facility	26	$47.16	$75.68	$171.45
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $45.17 / $58.52 / $60.96	Professional	26	$45.17	$58.52	$60.96
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $76.56 / $76.56 / $76.56	Facility	26	$76.56	$76.56	$76.56