Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $146.02 / $175.59 / $404.50	Facility	26	$146.02	$175.59	$404.50
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $139.24 / $172.00 / $212.95	Professional	26	$139.24	$172.00	$212.95
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $178.03 / $196.08 / $418.33	Facility	26	$178.03	$196.08	$418.33