Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.86 / $14.39 / $86.50	Facility	26	$13.86	$14.39	$86.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.57 / $16.57 / $16.57	Facility	26	$16.57	$16.57	$16.57
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.42 / $15.89 / $21.45	Professional	26	$13.42	$15.89	$21.45
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $14.09 / $19.07 / $29.87	Professional	26	$14.09	$19.07	$29.87
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $39.27 / $100.00 / $100.00	Facility	26	$39.27	$100.00	$100.00
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $16.57 / $16.57 / $16.57	Facility	26	$16.57	$16.57	$16.57