Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $263.03 / $524.81 / $1,412.54	Facility	26	$263.03	$524.81	$1,412.54
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $239.88 / $295.12 / $371.54	Professional	26	$239.88	$295.12	$371.54
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $263.03 / $371.54 / $676.08	Professional	26	$263.03	$371.54	$676.08
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility	26	$1,698.24	$1,698.24	$1,698.24