Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.87 / $74.97 / $416.78	Facility	26	$70.87	$74.97	$416.78
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $58.12 / $75.72 / $102.22	Professional	26	$58.12	$75.72	$102.22
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $62.13 / $90.41 / $158.61	Professional	26	$62.13	$90.41	$158.61
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $161.86 / $328.17 / $333.17	Facility	26	$161.86	$328.17	$333.17