Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $140.03 / $154.03 / $847.30	Facility	26	$140.03	$154.03	$847.30
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $77.88 / $132.57 / $168.14	Professional	26	$77.88	$132.57	$168.14
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $70.09 / $97.35 / $179.12	Professional	26	$70.09	$97.35	$179.12
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $162.75 / $742.00 / $964.10	Facility	26	$162.75	$742.00	$964.10