Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.36 / $39.15 / $237.40	Facility	26	$37.36	$39.15	$237.40
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $18.07 / $43.10 / $58.19	Professional	26	$18.07	$43.10	$58.19
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $35.43 / $51.57 / $90.46	Professional	26	$35.43	$51.57	$90.46
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $175.59 / $190.33	Facility	26	$100.00	$175.59	$190.33