Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.11 / $85.28 / $195.34	Facility	26	$73.11	$85.28	$195.34
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $70.09 / $86.59 / $107.21	Professional	26	$70.09	$86.59	$107.21
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $78.22 / $105.22 / $203.85	Facility	26	$78.22	$105.22	$203.85