Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $151.36 / $169.82 / $954.99	Facility	26	$151.36	$169.82	$954.99
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $208.93 / $234.42 / $288.40	Professional	26	$208.93	$234.42	$288.40
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $173.78 / $194.98 / $323.59	Professional	26	$173.78	$194.98	$323.59
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility	26	$1,071.52	$1,071.52	$1,071.52