Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.95 / $16.93 / $105.13	Facility	26	$15.95	$16.93	$105.13
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $15.66 / $18.82 / $25.41	Professional	26	$15.66	$18.82	$25.41
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $15.51 / $22.58 / $39.61	Professional	26	$15.51	$22.58	$39.61
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $50.00 / $83.36 / $83.36	Facility	26	$50.00	$83.36	$83.36