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 $13.96 / $113.13 / $152.72	Professional	26	$13.96	$113.13	$152.72
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $93.07 / $135.68 / $237.84	Professional	26	$93.07	$135.68	$237.84
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $244.48 / $460.18 / $499.51	Facility	26	$244.48	$460.18	$499.51