Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.09 / $46.07 / $287.89	Facility	26	$44.09	$46.07	$287.89
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $26.49 / $50.92 / $68.73	Professional	26	$26.49	$50.92	$68.73
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $41.88 / $61.01 / $106.97	Professional	26	$41.88	$61.01	$106.97
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $109.48 / $207.37 / $224.87	Facility	26	$109.48	$207.37	$224.87