Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.11 / $98.50 / $234.69	Facility	26	$81.11	$98.50	$234.69
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $83.48 / $100.18 / $123.55	Professional	26	$83.48	$100.18	$123.55
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $140.66 / $152.19 / $157.04	Facility	26	$140.66	$152.19	$157.04