Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.87 / $55.60 / $362.05	Facility	26	$52.87	$55.60	$362.05
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $51.23 / $69.61 / $93.97	Professional	26	$51.23	$69.61	$93.97
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $59.74 / $86.00 / $143.54	Professional	26	$59.74	$86.00	$143.54
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $142.34 / $302.33 / $302.33	Facility	26	$142.34	$302.33	$302.33