Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $169.63 / $185.60 / $1,107.25	Facility	26	$169.63	$185.60	$1,107.25
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $188.70 / $207.57 / $254.75	Professional	26	$188.70	$207.57	$254.75
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $157.03 / $188.90 / $325.45	Professional	26	$157.03	$188.90	$325.45
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $396.45 / $770.52 / $833.67	Facility	26	$396.45	$770.52	$833.67