Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.59 / $21.68 / $139.19	Facility	26	$20.59	$21.68	$139.19
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $18.95 / $24.88 / $33.59	Professional	26	$18.95	$24.88	$33.59
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $20.47 / $29.82 / $52.28	Professional	26	$20.47	$29.82	$52.28
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $80.00 / $101.42 / $109.92	Facility	26	$80.00	$101.42	$109.92