Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.78 / $53.82 / $227.49	Facility	26	$48.78	$53.82	$227.49
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $39.79 / $65.59 / $83.20	Professional	26	$39.79	$65.59	$83.20
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $35.81 / $49.74 / $91.52	Professional	26	$35.81	$49.74	$91.52
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $83.45 / $218.19 / $218.19	Facility	26	$83.45	$218.19	$218.19