Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.29 / $123.31 / $228.02	Facility	26	$107.29	$123.31	$228.02
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $131.47 / $153.40 / $334.26	Professional	26	$131.47	$153.40	$334.26