Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $229.82 / $248.01 / $1,249.88	Facility	26	$229.82	$248.01	$1,249.88
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $185.45 / $235.21 / $307.92	Professional	26	$185.45	$235.21	$307.92
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $213.17 / $296.85 / $544.78	Professional	26	$213.17	$296.85	$544.78
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $1,640.24 / $2,000.24 / $2,052.08	Facility	26	$1,640.24	$2,000.24	$2,052.08