Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.00 / $180.01 / $331.04	Facility	26	$80.00	$180.01	$331.04
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $50.16 / $60.19 / $74.23	Professional	26	$50.16	$60.19	$74.23
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $143.50 / $237.54 / $268.07	Facility	26	$143.50	$237.54	$268.07