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 $10.31 / $82.30 / $111.11	Professional	26	$10.31	$82.30	$111.11
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $67.75 / $98.76 / $173.14	Professional	26	$67.75	$98.76	$173.14
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $178.70 / $334.57 / $363.33	Facility	26	$178.70	$334.57	$363.33