Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $170.99 / $170.99 / $170.99	Facility	26	$170.99	$170.99	$170.99
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $171.79 / $375.03 / $375.03	Professional	26	$171.79	$375.03	$375.03