Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $32.43 / $194.32	Facility	26	$30.90	$32.43	$194.32
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $15.23 / $34.92 / $47.14	Professional	26	$15.23	$34.92	$47.14
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $28.72 / $41.82 / $73.34	Professional	26	$28.72	$41.82	$73.34
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $98.17 / $143.13 / $154.22	Facility	26	$98.17	$143.13	$154.22