Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.33 / $38.72 / $233.11	Facility	26	$35.33	$38.72	$233.11
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $30.62 / $43.00 / $58.05	Professional	26	$30.62	$43.00	$58.05
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $35.52 / $43.45 / $77.62	Professional	26	$35.52	$43.45	$77.62
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $87.84 / $171.05 / $187.72	Facility	26	$87.84	$171.05	$187.72