Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.86 / $44.73 / $104.32	Facility	26	$36.86	$44.73	$104.32
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $36.15 / $44.66 / $55.29	Professional	26	$36.15	$44.66	$55.29
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $60.25 / $60.25 / $110.51	Facility	26	$60.25	$60.25	$110.51