Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $164.25 / $179.15 / $952.38	Facility	26	$164.25	$179.15	$952.38
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $141.30 / $171.52 / $231.55	Professional	26	$141.30	$171.52	$231.55
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $143.01 / $173.28 / $309.83	Professional	26	$143.01	$173.28	$309.83
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $369.38 / $725.43 / $759.53	Facility	26	$369.38	$725.43	$759.53