Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.34 / $16.14 / $99.95	Facility	26	$15.34	$16.14	$99.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.52 / $18.52 / $18.52	Facility	26	$18.52	$18.52	$18.52
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.75 / $18.22 / $24.60	Professional	26	$13.75	$18.22	$24.60
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $16.11 / $21.86 / $34.25	Professional	26	$16.11	$21.86	$34.25
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $49.08 / $100.00 / $100.00	Facility	26	$49.08	$100.00	$100.00
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $18.52 / $18.52 / $18.52	Facility	26	$18.52	$18.52	$18.52