Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.70 / $20.71 / $123.26	Facility	26	$19.70	$20.71	$123.26
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $17.66 / $22.55 / $30.44	Professional	26	$17.66	$22.55	$30.44
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $18.59 / $27.06 / $47.50	Professional	26	$18.59	$27.06	$47.50
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $61.36 / $100.00 / $100.00	Facility	26	$61.36	$100.00	$100.00