Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.72 / $78.98 / $475.04	Facility	26	$71.72	$78.98	$475.04
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $87.47 / $87.84 / $118.08	Professional	26	$87.47	$87.84	$118.08
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $72.20 / $88.40 / $157.88	Professional	26	$72.20	$88.40	$157.88
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $178.30 / $346.65 / $381.19	Facility	26	$178.30	$346.65	$381.19