Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $265.52 / $1,572.73 / $1,595.32	Facility	26	$265.52	$1,572.73	$1,595.32
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $223.54 / $284.31 / $341.17	Professional	26	$223.54	$284.31	$341.17
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $255.88 / $356.56 / $653.91	Professional	26	$255.88	$356.56	$653.91
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $641.41 / $1,270.10 / $1,309.24	Facility	26	$641.41	$1,270.10	$1,309.24