Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.36 / $78.54 / $475.04	Facility	26	$71.36	$78.54	$475.04
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $84.23 / $88.08 / $118.91	Professional	26	$84.23	$88.08	$118.91
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $72.72 / $89.00 / $158.97	Professional	26	$72.72	$89.00	$158.97
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $179.27 / $349.69 / $384.09	Facility	26	$179.27	$349.69	$384.09