Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $147.69 / $184.44 / $443.69	Facility	26	$147.69	$184.44	$443.69
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $145.99 / $175.19 / $216.07	Professional	26	$145.99	$175.19	$216.07
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $157.50 / $255.22 / $279.32	Facility	26	$157.50	$255.22	$279.32