Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.20 / $85.61 / $497.60	Facility	26	$77.20	$85.61	$497.60
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $74.88 / $92.23 / $124.51	Professional	26	$74.88	$92.23	$124.51
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $76.09 / $93.21 / $166.48	Professional	26	$76.09	$93.21	$166.48
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $187.52 / $364.85 / $401.57	Facility	26	$187.52	$364.85	$401.57