Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $154.15 / $919.16 / $931.27	Facility	26	$154.15	$919.16	$931.27
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $130.55 / $164.95 / $197.94	Professional	26	$130.55	$164.95	$197.94
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $148.46 / $206.86 / $379.39	Professional	26	$148.46	$206.86	$379.39
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $372.83 / $737.24 / $759.81	Facility	26	$372.83	$737.24	$759.81