Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $287.75 / $355.29 / $594.51	Facility	26	$287.75	$355.29	$594.51
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $255.61 / $319.51 / $548.58	Professional	26	$255.61	$319.51	$548.58
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $323.07 / $365.60 / $794.38	Facility	26	$323.07	$365.60	$794.38