Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $229.09 / $446.68 / $1,698.24	Facility	26	$229.09	$446.68	$1,698.24
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $309.03 / $416.87	Professional	26	$134.90	$309.03	$416.87
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $269.15 / $363.08 / $630.96	Professional	26	$269.15	$363.08	$630.96
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility	26	$1,621.81	$1,621.81	$1,621.81