Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $303.82 / $323.51 / $1,736.28	Facility	26	$303.82	$323.51	$1,736.28
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $275.80 / $318.63 / $414.22	Professional	26	$275.80	$318.63	$414.22
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $286.77 / $399.41 / $732.85	Professional	26	$286.77	$399.41	$732.85
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $2,241.67 / $2,728.48 / $2,803.28	Facility	26	$2,241.67	$2,728.48	$2,803.28