Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.85 / $22.94 / $138.15	Facility	26	$21.85	$22.94	$138.15
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.22 / $26.18 / $35.34	Professional	26	$13.22	$26.18	$35.34
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $21.57 / $31.42 / $55.11	Professional	26	$21.57	$31.42	$55.11
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $73.63 / $107.50 / $116.00	Facility	26	$73.63	$107.50	$116.00