Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.67 / $132.38 / $318.27	Facility	26	$76.67	$132.38	$318.27
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $74.87 / $89.84 / $110.81	Professional	26	$74.87	$89.84	$110.81
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $144.04 / $179.78 / $3,585.00	Facility	26	$144.04	$179.78	$3,585.00