Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $209.90 / $249.98 / $451.67	Facility	26	$209.90	$249.98	$451.67
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $208.36 / $250.03 / $308.37	Professional	26	$208.36	$250.03	$308.37
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $212.72 / $371.10 / $394.43	Facility	26	$212.72	$371.10	$394.43