Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $286.04 / $355.75 / $647.02	Facility	26	$286.04	$355.75	$647.02
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $284.22 / $341.06 / $420.65	Professional	26	$284.22	$341.06	$420.65
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $493.39 / $530.25 / $540.66	Facility	26	$493.39	$530.25	$540.66