Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $265.58 / $285.37 / $1,567.75	Facility	26	$265.58	$285.37	$1,567.75
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $241.05 / $282.02 / $366.64	Professional	26	$241.05	$282.02	$366.64
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $253.83 / $353.48 / $648.66	Professional	26	$253.83	$353.48	$648.66
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $591.97 / $1,268.82 / $1,479.91	Facility	26	$591.97	$1,268.82	$1,479.91