Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $103.09 / $161.34 / $206.24	Facility	26	$103.09	$161.34	$206.24
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $84.13 / $119.49 / $136.03	Professional	26	$84.13	$119.49	$136.03
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $87.78 / $187.20 / $310.88	Facility	26	$87.78	$187.20	$310.88