Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.14 / $31.62 / $104.71	Facility	26	$15.14	$31.62	$104.71
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $19.05 / $20.89	Professional	26	$15.49	$19.05	$20.89
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $21.88 / $39.81	Professional	26	$16.60	$21.88	$39.81
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $109.65 / $109.65	Facility	26	$109.65	$109.65	$109.65