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 / $439.29	Facility	26	$90.00	$90.00	$439.29
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $80.79 / $80.79 / $109.07	Professional	26	$80.79	$80.79	$109.07
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $66.44 / $96.85 / $169.79	Professional	26	$66.44	$96.85	$169.79
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $245.42 / $857.00 / $1,078.00	Facility	26	$245.42	$857.00	$1,078.00