Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $50.12 / $162.18	Facility	26	$25.12	$50.12	$162.18
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $29.51 / $32.36	Professional	26	$12.02	$29.51	$32.36
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $33.88 / $61.66	Professional	26	$25.70	$33.88	$61.66
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $165.96 / $165.96 / $165.96	Facility	26	$165.96	$165.96	$165.96