Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.45 / $78.45 / $294.82	Facility	26	$71.45	$78.45	$294.82
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $53.85 / $62.94 / $70.01	Professional	26	$53.85	$62.94	$70.01
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $48.47 / $67.48 / $123.86	Professional	26	$48.47	$67.48	$123.86
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $114.92 / $316.70 / $316.70	Facility	26	$114.92	$316.70	$316.70