Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.30 / $99.46 / $527.92	Facility	26	$90.30	$99.46	$527.92
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $83.32 / $97.16 / $124.98	Professional	26	$83.32	$97.16	$124.98
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $87.44 / $121.79 / $223.47	Professional	26	$87.44	$121.79	$223.47
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $207.43 / $507.45 / $532.00	Facility	26	$207.43	$507.45	$532.00