Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.86 / $36.52 / $216.83	Facility	26	$34.86	$36.52	$216.83
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.15 / $36.77 / $49.64	Professional	26	$13.15	$36.77	$49.64
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $31.02 / $44.12 / $79.28	Professional	26	$31.02	$44.12	$79.28
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $161.97 / $168.25	Facility	26	$100.00	$161.97	$168.25