Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.16 / $109.16 / $202.67	Facility	26	$109.16	$109.16	$202.67
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $133.08 / $155.26 / $370.76	Professional	26	$133.08	$155.26	$370.76