Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $389.05 / $426.58 / $2,290.87	Facility	26	$389.05	$426.58	$2,290.87
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $501.19 / $549.54 / $676.08	Professional	26	$501.19	$549.54	$676.08
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $407.38 / $457.09 / $776.25	Professional	26	$407.38	$457.09	$776.25
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $2,951.21 / $2,951.21 / $3,467.37	Facility	26	$2,951.21	$2,951.21	$3,467.37