Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $146.35 / $146.35 / $215.14	Facility	26	$146.35	$146.35	$215.14
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $163.40 / $193.48 / $223.12	Professional	26	$163.40	$193.48	$223.12
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $109.85 / $166.00 / $174.20	Facility	26	$109.85	$166.00	$174.20