Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $381.33 / $453.34 / $1,039.08	Facility	26	$381.33	$453.34	$1,039.08
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $366.02 / $452.14 / $559.79	Professional	26	$366.02	$452.14	$559.79
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $429.01 / $519.00 / $1,073.81	Facility	26	$429.01	$519.00	$1,073.81