Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.83 / $27.06 / $159.76	Facility	26	$25.83	$27.06	$159.76
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.95 / $28.75 / $38.81	Professional	26	$11.95	$28.75	$38.81
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $23.71 / $34.50 / $60.58	Professional	26	$23.71	$34.50	$60.58
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $85.90 / $119.85 / $127.44	Facility	26	$85.90	$119.85	$127.44