Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $292.64 / $323.33 / $1,973.92	Facility	26	$292.64	$323.33	$1,973.92
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $215.81 / $328.44 / $494.51	Professional	26	$215.81	$328.44	$494.51
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $302.81 / $370.04 / $660.38	Professional	26	$302.81	$370.04	$660.38
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $745.41 / $1,462.36 / $1,601.04	Facility	26	$745.41	$1,462.36	$1,601.04