Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $578.00 / $713.73 / $1,302.42	Facility	26	$578.00	$713.73	$1,302.42
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $564.04 / $676.86 / $834.79	Professional	26	$564.04	$676.86	$834.79
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $751.14 / $1,062.41 / $3,051.00	Facility	26	$751.14	$1,062.41	$3,051.00