Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $145.53 / $177.91 / $201.47	Facility	26	$145.53	$177.91	$201.47
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $145.19 / $205.28 / $233.68	Professional	26	$145.19	$205.28	$233.68
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $134.69 / $176.87 / $186.26	Facility	26	$134.69	$176.87	$186.26