Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.57 / $34.29 / $198.70	Facility	26	$32.57	$34.29	$198.70
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $26.77 / $38.50 / $46.20	Professional	26	$26.77	$38.50	$46.20
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $34.65 / $48.14 / $88.55	Professional	26	$34.65	$48.14	$88.55
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $80.15 / $158.93 / $170.76	Facility	26	$80.15	$158.93	$170.76