Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $217.21 / $269.97 / $491.10	Facility	26	$217.21	$269.97	$491.10
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $215.77 / $258.92 / $319.33	Professional	26	$215.77	$258.92	$319.33
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $381.74 / $403.18 / $411.04	Facility	26	$381.74	$403.18	$411.04