Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $140.00 / $140.00 / $944.51	Facility	26	$140.00	$140.00	$944.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $179.34 / $179.34 / $179.34	Facility	26	$179.34	$179.34	$179.34
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $33.36 / $173.56 / $234.31	Professional	26	$33.36	$173.56	$234.31
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $156.19 / $217.07 / $463.41	Professional	26	$156.19	$217.07	$463.41
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $714.54 / $769.50 / $769.50	Facility	26	$714.54	$769.50	$769.50
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $179.34 / $179.34 / $179.34	Facility	26	$179.34	$179.34	$179.34