Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.84 / $46.99 / $283.45	Facility	26	$44.84	$46.99	$283.45
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $16.87 / $51.02 / $68.88	Professional	26	$16.87	$51.02	$68.88
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $41.93 / $61.05 / $107.07	Professional	26	$41.93	$61.05	$107.07
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $109.24 / $207.37 / $225.10	Facility	26	$109.24	$207.37	$225.10