Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.52 / $53.57 / $242.33	Facility	26	$48.52	$53.57	$242.33
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $39.49 / $45.03 / $60.79	Professional	26	$39.49	$45.03	$60.79
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $37.38 / $45.51 / $84.66	Professional	26	$37.38	$45.51	$84.66
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $94.89 / $181.68 / $197.98	Facility	26	$94.89	$181.68	$197.98