Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $309.76 / $1,841.50 / $1,865.70	Facility	26	$309.76	$1,841.50	$1,865.70
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $260.95 / $331.25 / $397.50	Professional	26	$260.95	$331.25	$397.50
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $298.13 / $415.45 / $722.13	Professional	26	$298.13	$415.45	$722.13
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $747.95 / $1,482.02 / $1,526.46	Facility	26	$747.95	$1,482.02	$1,526.46