Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.00 / $42.92 / $101.96	Facility	26	$34.00	$42.92	$101.96
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $33.95 / $40.74 / $50.25	Professional	26	$33.95	$40.74	$50.25
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $38.52 / $65.92 / $79.97	Facility	26	$38.52	$65.92	$79.97