Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.41 / $132.00 / $317.55	Facility	26	$106.41	$132.00	$317.55
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $104.65 / $125.58 / $154.88	Professional	26	$104.65	$125.58	$154.88
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $112.99 / $180.35 / $200.47	Facility	26	$112.99	$180.35	$200.47