Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.76 / $37.43 / $225.20	Facility	26	$35.76	$37.43	$225.20
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $40.06 / $40.06 / $54.08	Professional	26	$40.06	$40.06	$54.08
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $32.99 / $48.07 / $84.30	Professional	26	$32.99	$48.07	$84.30
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $168.51 / $177.13	Facility	26	$100.00	$168.51	$177.13