Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $181.97 / $588.84	Facility	26	$87.10	$181.97	$588.84
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $114.82 / $147.91	Professional	26	$56.23	$114.82	$147.91
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $131.83 / $213.80	Professional	26	$102.33	$131.83	$213.80
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $616.60 / $616.60 / $616.60	Facility	26	$616.60	$616.60	$616.60