Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $150.47 / $186.30 / $448.32	Facility	26	$150.47	$186.30	$448.32
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $147.28 / $176.74 / $217.97	Professional	26	$147.28	$176.74	$217.97
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $151.08 / $256.24 / $283.61	Facility	26	$151.08	$256.24	$283.61