Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $407.38 / $446.68 / $2,344.23	Facility	26	$407.38	$446.68	$2,344.23
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $478.63 / $524.81 / $616.60	Professional	26	$478.63	$524.81	$616.60
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $416.87 / $602.56 / $1,096.48	Professional	26	$416.87	$602.56	$1,096.48
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility	26	$3,801.89	$3,801.89	$3,801.89