Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $121.12 / $121.12 / $121.12	Facility	26	$121.12	$121.12	$121.12
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $117.85 / $168.04 / $216.06	Professional	26	$117.85	$168.04	$216.06