Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $199.53 / $218.78	Facility	26	$114.82	$199.53	$218.78
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $141.25 / $181.97 / $213.80	Professional	26	$141.25	$181.97	$213.80
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $138.04 / $169.82 / $177.83	Facility	26	$138.04	$169.82	$177.83