Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.76 / $85.66 / $196.15	Facility	26	$72.76	$85.66	$196.15
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $69.45 / $85.80 / $106.22	Professional	26	$69.45	$85.80	$106.22
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $78.59 / $114.00 / $211.02	Facility	26	$78.59	$114.00	$211.02