Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $52.48 / $199.53	Facility	26	$47.86	$52.48	$199.53
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $66.07 / $83.18	Professional	26	$41.69	$66.07	$83.18
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $52.48 / $95.50	Professional	26	$36.31	$52.48	$95.50
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $234.42 / $234.42 / $234.42	Facility	26	$234.42	$234.42	$234.42