Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $234.42 / $281.84 / $1,230.27	Facility	26	$234.42	$281.84	$1,230.27
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $213.80 / $251.19 / $323.59	Professional	26	$213.80	$251.19	$323.59
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $223.87 / $316.23 / $575.44	Professional	26	$223.87	$316.23	$575.44
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility	26	$2,089.30	$2,089.30	$2,089.30