Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $165.96 / $218.78	Facility	26	$75.86	$165.96	$218.78
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $91.20 / $112.20	Professional	26	$75.86	$91.20	$112.20
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $138.04 / $169.82 / $213.80	Professional	26	$138.04	$169.82	$213.80