Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $163.94 / $203.06 / $488.54	Facility	26	$163.94	$203.06	$488.54
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $146.78 / $183.47 / $313.19	Professional	26	$146.78	$183.47	$313.19
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $162.72 / $240.00 / $375.86	Facility	26	$162.72	$240.00	$375.86