Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $40.74 / $128.82	Facility	26	$19.95	$40.74	$128.82
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $24.55 / $26.92	Professional	26	$17.78	$24.55	$26.92
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $28.18 / $51.29	Professional	26	$21.38	$28.18	$51.29
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $134.90 / $134.90 / $134.90	Facility	26	$134.90	$134.90	$134.90