Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $154.32 / $154.32 / $170.11	Facility	26	$154.32	$154.32	$170.11
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $110.78 / $156.60 / $178.26	Professional	26	$110.78	$156.60	$178.26
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $115.50 / $140.69 / $182.24	Facility	26	$115.50	$140.69	$182.24