Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $39.81 / $125.89	Facility	26	$19.95	$39.81	$125.89
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $22.91 / $25.12	Professional	26	$9.33	$22.91	$25.12
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $26.30 / $47.86	Professional	26	$19.95	$26.30	$47.86
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $131.83 / $131.83 / $131.83	Facility	26	$131.83	$131.83	$131.83