Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.67 / $63.85 / $397.75	Facility	26	$61.67	$63.85	$397.75
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $75.38 / $75.38 / $97.99	Professional	26	$75.38	$75.38	$97.99
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $67.84 / $94.93 / $173.37	Professional	26	$67.84	$94.93	$173.37
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $158.66 / $323.95 / $340.29	Facility	26	$158.66	$323.95	$340.29