Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.89 / $17.77 / $104.63	Facility	26	$16.89	$17.77	$104.63
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.32 / $18.57 / $25.07	Professional	26	$12.32	$18.57	$25.07
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $15.30 / $22.28 / $39.10	Professional	26	$15.30	$22.28	$39.10
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $49.08 / $100.00 / $100.00	Facility	26	$49.08	$100.00	$100.00