Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $235.22 / $250.17 / $1,321.49	Facility	26	$235.22	$250.17	$1,321.49
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $213.60 / $241.92 / $320.39	Professional	26	$213.60	$241.92	$320.39
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $217.73 / $303.24 / $556.41	Professional	26	$217.73	$303.24	$556.41
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $1,700.64 / $2,071.36 / $2,130.23	Facility	26	$1,700.64	$2,071.36	$2,130.23