Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $269.15 / $616.60	Facility	26	$141.25	$269.15	$616.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $114.82 / $165.96	Facility	26	$24.55	$114.82	$165.96
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $112.20 / $151.36	Professional	26	$83.18	$112.20	$151.36
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $134.90 / $234.42	Professional	26	$100.00	$134.90	$234.42
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $630.96 / $630.96 / $630.96	Facility	26	$630.96	$630.96	$630.96
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $114.82 / $165.96	Facility	26	$24.55	$114.82	$165.96