Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $176.51 / $180.23 / $193.37	Facility	26	$176.51	$180.23	$193.37
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $125.49 / $177.90 / $202.52	Professional	26	$125.49	$177.90	$202.52
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $131.11 / $165.62 / $229.14	Facility	26	$131.11	$165.62	$229.14