Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.31 / $79.62 / $424.35	Facility	26	$72.31	$79.62	$424.35
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $66.14 / $77.51 / $99.21	Professional	26	$66.14	$77.51	$99.21
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $69.76 / $97.16 / $178.27	Professional	26	$69.76	$97.16	$178.27
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $165.61 / $412.00 / $412.00	Facility	26	$165.61	$412.00	$412.00