Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $60.26 / $194.98	Facility	26	$30.90	$60.26	$194.98
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $35.48 / $38.90	Professional	26	$9.77	$35.48	$38.90
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $40.74 / $74.13	Professional	26	$30.90	$40.74	$74.13
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $199.53 / $199.53	Facility	26	$199.53	$199.53	$199.53