Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.53 / $134.69 / $323.77	Facility	26	$109.53	$134.69	$323.77
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $105.85 / $127.02 / $156.66	Professional	26	$105.85	$127.02	$156.66
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $145.09 / $180.86 / $205.34	Facility	26	$145.09	$180.86	$205.34