Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $63.10 / $263.03	Facility	26	$50.12	$63.10	$263.03
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $57.54 / $125.89	Professional	26	$42.66	$57.54	$125.89
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $91.20 / $102.33	Professional	26	$72.44	$91.20	$102.33