Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.10 / $32.56 / $191.83	Facility	26	$31.10	$32.56	$191.83
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.73 / $34.92 / $47.14	Professional	26	$9.73	$34.92	$47.14
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $28.72 / $41.82 / $73.34	Professional	26	$28.72	$41.82	$73.34
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $98.17 / $143.13 / $154.22	Facility	26	$98.17	$143.13	$154.22