Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $661.58 / $661.58 / $725.45	Facility	26	$661.58	$661.58	$725.45
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $529.73 / $624.80 / $749.59	Professional	26	$529.73	$624.80	$749.59
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $463.05 / $572.44 / $618.79	Facility	26	$463.05	$572.44	$618.79