Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.25 / $33.95 / $206.12	Facility	26	$32.25	$33.95	$206.12
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $14.00 / $35.13 / $47.43	Professional	26	$14.00	$35.13	$47.43
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $28.85 / $42.03 / $73.69	Professional	26	$28.85	$42.03	$73.69
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $95.71 / $148.29 / $154.80	Facility	26	$95.71	$148.29	$154.80