Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.39 / $63.85 / $261.14	Facility	26	$50.39	$63.85	$261.14
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $45.86 / $57.32 / $96.99	Professional	26	$45.86	$57.32	$96.99
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $63.56 / $66.40 / $122.38	Facility	26	$63.56	$66.40	$122.38