Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.67 / $118.43 / $158.43	Facility	26	$69.67	$118.43	$158.43
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $83.02 / $102.39	Professional	26	$69.18	$83.02	$102.39
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $102.29 / $118.16 / $131.76	Facility	26	$102.29	$118.16	$131.76