Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $202.49 / $251.05 / $603.90	Facility	26	$202.49	$251.05	$603.90
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $196.88 / $236.26 / $291.38	Professional	26	$196.88	$236.26	$291.38
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $291.89 / $365.12 / $380.85	Facility	26	$291.89	$365.12	$380.85