Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $204.17 / $512.86	Facility	26	$89.13	$204.17	$512.86
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $85.11 / $93.33	Professional	26	$10.23	$85.11	$93.33
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $97.72 / $177.83	Professional	26	$74.13	$97.72	$177.83
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $478.63 / $478.63 / $478.63	Facility	26	$478.63	$478.63	$478.63