Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.73 / $98.88 / $406.92	Facility	26	$89.73	$98.88	$406.92
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $74.20 / $80.13 / $101.62	Professional	26	$74.20	$80.13	$101.62
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $66.78 / $93.00 / $170.66	Professional	26	$66.78	$93.00	$170.66
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $158.47 / $401.31 / $401.31	Facility	26	$158.47	$401.31	$401.31