Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $245.47 / $269.15 / $1,318.26	Facility	26	$245.47	$269.15	$1,318.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $281.84 / $398.11	Facility	26	$60.26	$281.84	$398.11
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $269.15 / $331.13 / $501.19	Professional	26	$269.15	$331.13	$501.19
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $223.87 / $245.47 / $436.52	Professional	26	$223.87	$245.47	$436.52
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility	26	$2,187.76	$2,187.76	$2,187.76