Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.57 / $30.14 / $181.57	Facility	26	$28.57	$30.14	$181.57
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $14.33 / $33.04 / $44.62	Professional	26	$14.33	$33.04	$44.62
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $27.18 / $39.57 / $69.41	Professional	26	$27.18	$39.57	$69.41
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $217.28 / $273.44 / $278.24	Facility	26	$217.28	$273.44	$278.24