Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $295.89 / $360.69 / $933.21	Facility	26	$295.89	$360.69	$933.21
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $303.20 / $363.85 / $448.75	Professional	26	$303.20	$363.85	$448.75
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $509.70 / $557.48 / $578.59	Facility	26	$509.70	$557.48	$578.59