Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $308.52 / $328.32 / $1,765.16	Facility	26	$308.52	$328.32	$1,765.16
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $279.56 / $323.32 / $420.32	Professional	26	$279.56	$323.32	$420.32
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $290.99 / $405.28 / $743.64	Professional	26	$290.99	$405.28	$743.64
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $2,273.60 / $2,768.08 / $2,843.92	Facility	26	$2,273.60	$2,768.08	$2,843.92