Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.00 / $90.00 / $265.00	Facility	26	$90.00	$90.00	$265.00
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.87 / $86.99 / $117.44	Professional	26	$10.87	$86.99	$117.44
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $71.63 / $104.39 / $183.06	Professional	26	$71.63	$104.39	$183.06
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $188.78 / $354.23 / $384.32	Facility	26	$188.78	$354.23	$384.32