Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.48 / $26.65 / $157.27	Facility	26	$25.48	$26.65	$157.27
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $22.76 / $30.13 / $40.68	Professional	26	$22.76	$30.13	$40.68
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $24.76 / $35.99 / $63.16	Professional	26	$24.76	$35.99	$63.16
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $83.44 / $122.62 / $132.94	Facility	26	$83.44	$122.62	$132.94