Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $170.99 / $200.53 / $459.42	Facility	26	$170.99	$200.53	$459.42
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $153.71 / $189.87 / $235.08	Professional	26	$153.71	$189.87	$235.08
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $184.84 / $227.00 / $475.42	Facility	26	$184.84	$227.00	$475.42