Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $123.03 / $426.58	Facility	26	$112.20	$123.03	$426.58
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $489.78 / $616.60	Professional	26	$87.10	$489.78	$616.60
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $109.65 / $199.53	Professional	26	$77.62	$109.65	$199.53
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility	26	$3,311.31	$3,311.31	$3,311.31