Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.95 / $21.53 / $130.33	Facility	26	$20.95	$21.53	$130.33
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $17.72 / $23.25 / $31.39	Professional	26	$17.72	$23.25	$31.39
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $19.19 / $27.90 / $49.04	Professional	26	$19.19	$27.90	$49.04
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $50.54 / $95.38 / $103.03	Facility	26	$50.54	$95.38	$103.03