Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $842.30 / $842.30 / $925.83	Facility	26	$842.30	$842.30	$925.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $598.45 / $844.53 / $961.39	Professional	26	$598.45	$844.53	$961.39
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $558.63 / $729.03 / $783.90	Facility	26	$558.63	$729.03	$783.90