Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.00 / $90.00 / $435.10	Facility	26	$90.00	$90.00	$435.10
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $78.47 / $105.93 / $304.05	Professional	26	$78.47	$105.93	$304.05
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $64.52 / $94.00 / $164.82	Professional	26	$64.52	$94.00	$164.82
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $514.72 / $690.00 / $690.00	Facility	26	$514.72	$690.00	$690.00