Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.87 / $61.68 / $387.15	Facility	26	$58.87	$61.68	$387.15
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $23.56 / $70.05 / $94.57	Professional	26	$23.56	$70.05	$94.57
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $57.55 / $83.71 / $146.86	Professional	26	$57.55	$83.71	$146.86
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $149.31 / $284.58 / $308.94	Facility	26	$149.31	$284.58	$308.94