Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $158.91 / $170.62 / $920.35	Facility	26	$158.91	$170.62	$920.35
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $83.65 / $106.08 / $199.28	Professional	26	$83.65	$106.08	$199.28
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $149.46 / $208.14 / $381.96	Professional	26	$149.46	$208.14	$381.96
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $351.86 / $711.50 / $749.12	Facility	26	$351.86	$711.50	$749.12