Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.75 / $35.47 / $202.89	Facility	26	$33.75	$35.47	$202.89
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $19.39 / $36.57 / $49.37	Professional	26	$19.39	$36.57	$49.37
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $30.17 / $43.88 / $77.09	Professional	26	$30.17	$43.88	$77.09
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $156.38 / $162.02	Facility	26	$100.00	$156.38	$162.02