Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.86 / $32.61 / $204.83	Facility	26	$30.86	$32.61	$204.83
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $28.41 / $36.92 / $49.84	Professional	26	$28.41	$36.92	$49.84
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $30.47 / $44.30 / $77.86	Professional	26	$30.47	$44.30	$77.86
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $80.39 / $151.40 / $163.63	Facility	26	$80.39	$151.40	$163.63