Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.98 / $24.02 / $145.57	Facility	26	$22.98	$24.02	$145.57
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.78 / $26.04 / $35.15	Professional	26	$13.78	$26.04	$35.15
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $21.41 / $31.19 / $54.69	Professional	26	$21.41	$31.19	$54.69
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $170.80 / $215.36 / $221.60	Facility	26	$170.80	$215.36	$221.60