Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $346.74 / $602.56 / $645.65	Facility	26	$346.74	$602.56	$645.65
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $269.15 / $562.34 / $676.08	Professional	26	$269.15	$562.34	$676.08
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $436.52 / $512.86 / $537.03	Facility	26	$436.52	$512.86	$537.03