Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $158.19 / $169.75 / $913.23	Facility	26	$158.19	$169.75	$913.23
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $80.47 / $102.05 / $198.04	Professional	26	$80.47	$102.05	$198.04
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $148.53 / $206.80 / $379.57	Professional	26	$148.53	$206.80	$379.57
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $349.87 / $703.92 / $743.04	Facility	26	$349.87	$703.92	$743.04