Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $263.03 / $512.86	Facility	26	$89.13	$263.03	$512.86
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $81.28 / $109.65	Professional	26	$81.28	$81.28	$109.65
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $93.33 / $169.82	Professional	26	$70.79	$93.33	$169.82
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $851.14 / $1,047.13 / $1,071.52	Facility	26	$851.14	$1,047.13	$1,071.52