Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $176.13 / $1,048.44 / $1,061.06	Facility	26	$176.13	$1,048.44	$1,061.06
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $149.07 / $187.63 / $225.16	Professional	26	$149.07	$187.63	$225.16
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $168.87 / $235.35 / $431.55	Professional	26	$168.87	$235.35	$431.55
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $425.38 / $843.20 / $866.45	Facility	26	$425.38	$843.20	$866.45