Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $366.06 / $448.54 / $1,083.52	Facility	26	$366.06	$448.54	$1,083.52
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $357.85 / $429.42 / $529.62	Professional	26	$357.85	$429.42	$529.62
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $442.55 / $618.91 / $691.44	Facility	26	$442.55	$618.91	$691.44