Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.18 / $160.33 / $287.18	Facility	26	$68.18	$160.33	$287.18
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $66.11 / $79.33 / $97.84	Professional	26	$66.11	$79.33	$97.84
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $131.60 / $207.58 / $247.38	Facility	26	$131.60	$207.58	$247.38