Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $290.83 / $362.35 / $873.57	Facility	26	$290.83	$362.35	$873.57
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $288.33 / $346.01 / $426.74	Professional	26	$288.33	$346.01	$426.74
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $500.88 / $539.84 / $549.48	Facility	26	$500.88	$539.84	$549.48