Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $410.29 / $445.14 / $463.41	Facility	26	$410.29	$445.14	$463.41
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $460.07 / $506.08 / $598.09	Professional	26	$460.07	$506.08	$598.09
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $414.06 / $575.09 / $1,058.16	Professional	26	$414.06	$575.09	$1,058.16
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $2,993.20 / $3,782.72 / $3,906.24	Facility	26	$2,993.20	$3,782.72	$3,906.24