Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.90 / $89.40 / $204.82	Facility	26	$75.90	$89.40	$204.82
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $73.13 / $90.33 / $111.84	Professional	26	$73.13	$90.33	$111.84
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $77.13 / $94.00 / $214.25	Facility	26	$77.13	$94.00	$214.25