Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $158.43 / $195.99 / $357.22	Facility	26	$158.43	$195.99	$357.22
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $155.22 / $186.28 / $229.74	Professional	26	$155.22	$186.28	$229.74
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $264.22 / $291.69 / $297.43	Facility	26	$264.22	$291.69	$297.43