Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.75 / $83.75 / $83.75	Facility	26	$83.75	$83.75	$83.75
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $79.22 / $110.16 / $169.76	Professional	26	$79.22	$110.16	$169.76