Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.22 / $120.65 / $672.60	Facility	26	$112.22	$120.65	$672.60
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $117.68 / $119.84 / $161.78	Professional	26	$117.68	$119.84	$161.78
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $107.86 / $150.19 / $275.63	Professional	26	$107.86	$150.19	$275.63
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $251.66 / $539.60 / $670.89	Facility	26	$251.66	$539.60	$670.89