Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $392.12 / $429.74 / $2,492.04	Facility	26	$392.12	$429.74	$2,492.04
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $457.89 / $503.68 / $618.15	Professional	26	$457.89	$503.68	$618.15
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $378.73 / $458.18 / $781.23	Professional	26	$378.73	$458.18	$781.23
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $940.02 / $2,977.00 / $3,485.00	Facility	26	$940.02	$2,977.00	$3,485.00