Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $617.92 / $664.31 / $3,536.65	Facility	26	$617.92	$664.31	$3,536.65
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $510.52 / $638.35 / $829.86	Professional	26	$510.52	$638.35	$829.86
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $574.52 / $800.09 / $1,468.21	Professional	26	$574.52	$800.09	$1,468.21
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $4,443.84 / $5,414.88 / $5,558.40	Facility	26	$4,443.84	$5,414.88	$5,558.40