Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $226.76 / $243.94 / $1,238.73	Facility	26	$226.76	$243.94	$1,238.73
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $125.61 / $159.32 / $267.29	Professional	26	$125.61	$159.32	$267.29
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $200.47 / $279.14 / $512.29	Professional	26	$200.47	$279.14	$512.29
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $1,548.88 / $1,890.08 / $1,940.48	Facility	26	$1,548.88	$1,890.08	$1,940.48