Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $149.41 / $171.91 / $321.62	Facility	26	$149.41	$171.91	$321.62
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $182.89 / $213.37 / $415.69	Professional	26	$182.89	$213.37	$415.69