Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $391.87 / $421.51 / $2,206.23	Facility	26	$391.87	$421.51	$2,206.23
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $396.93 / $417.52 / $535.86	Professional	26	$396.93	$417.52	$535.86
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $357.24 / $497.46 / $912.94	Professional	26	$357.24	$497.46	$912.94
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $1,723.50 / $2,102.40 / $2,165.69	Facility	26	$1,723.50	$2,102.40	$2,165.69