Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.11 / $21.22 / $126.94	Facility	26	$20.11	$21.22	$126.94
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.91 / $22.66 / $30.59	Professional	26	$12.91	$22.66	$30.59
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $18.63 / $27.14 / $47.59	Professional	26	$18.63	$27.14	$47.59
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $148.88 / $187.36 / $192.88	Facility	26	$148.88	$187.36	$192.88