Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $143.25 / $157.85 / $943.76	Facility	26	$143.25	$157.85	$943.76
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $176.63 / $194.29 / $238.45	Professional	26	$176.63	$194.29	$238.45
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $146.61 / $176.86 / $302.23	Professional	26	$146.61	$176.86	$302.23
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $360.52 / $717.54 / $777.77	Facility	26	$360.52	$717.54	$777.77