Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $163.96 / $176.12 / $968.41	Facility	26	$163.96	$176.12	$968.41
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $175.57 / $489.54 / $620.87	Professional	26	$175.57	$489.54	$620.87
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $158.01 / $220.06 / $403.81	Professional	26	$158.01	$220.06	$403.81
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $368.67 / $2,310.00 / $2,310.00	Facility	26	$368.67	$2,310.00	$2,310.00