Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $153.13 / $168.71 / $1,020.15	Facility	26	$153.13	$168.71	$1,020.15
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $191.21 / $210.33 / $258.13	Professional	26	$191.21	$210.33	$258.13
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $158.47 / $191.43 / $326.52	Professional	26	$158.47	$191.43	$326.52
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $389.43 / $772.06 / $839.75	Facility	26	$389.43	$772.06	$839.75