Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $151.82 / $163.06 / $893.71	Facility	26	$151.82	$163.06	$893.71
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $57.28 / $63.01 / $74.45	Professional	26	$57.28	$63.01	$74.45
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $51.55 / $71.78 / $131.74	Professional	26	$51.55	$71.78	$131.74
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $188.39 / $676.60 / $683.29	Facility	26	$188.39	$676.60	$683.29