Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.70 / $40.36 / $227.59	Facility	26	$38.70	$40.36	$227.59
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $40.49 / $40.49 / $52.64	Professional	26	$40.49	$40.49	$52.64
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $36.44 / $50.66 / $93.13	Professional	26	$36.44	$50.66	$93.13
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $88.69 / $175.23 / $180.36	Facility	26	$88.69	$175.23	$180.36