Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.95 / $50.23 / $284.95	Facility	26	$47.95	$50.23	$284.95
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $15.18 / $51.27 / $69.20	Professional	26	$15.18	$51.27	$69.20
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $42.17 / $61.45 / $107.73	Professional	26	$42.17	$61.45	$107.73
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $224.82 / $226.48 / $241.59	Facility	26	$224.82	$226.48	$241.59