Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $111.60 / $120.00 / $661.29	Facility	26	$111.60	$120.00	$661.29
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $84.82 / $489.54 / $620.87	Professional	26	$84.82	$489.54	$620.87
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $76.34 / $106.31 / $195.09	Professional	26	$76.34	$106.31	$195.09
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $178.05 / $3,303.00 / $3,303.00	Facility	26	$178.05	$3,303.00	$3,303.00