Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $140.00 / $140.00 / $1,261.08	Facility	26	$140.00	$140.00	$1,261.08
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $145.85 / $218.77 / $262.52	Professional	26	$145.85	$218.77	$262.52
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $196.89 / $273.48 / $503.17	Professional	26	$196.89	$273.48	$503.17
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $1,446.48 / $1,815.52 / $1,850.96	Facility	26	$1,446.48	$1,815.52	$1,850.96