Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.81 / $37.53 / $208.02	Facility	26	$35.81	$37.53	$208.02
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $18.54 / $37.14 / $50.14	Professional	26	$18.54	$37.14	$50.14
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $30.55 / $44.51 / $78.04	Professional	26	$30.55	$44.51	$78.04
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $190.00 / $190.00	Facility	26	$100.00	$190.00	$190.00