Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.75 / $63.67 / $392.57	Facility	26	$60.75	$63.67	$392.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.26 / $74.26 / $74.26	Facility	26	$74.26	$74.26	$74.26
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $57.59 / $71.94 / $97.12	Professional	26	$57.59	$71.94	$97.12
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $63.83 / $86.33 / $136.54	Professional	26	$63.83	$86.33	$136.54
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $152.38 / $319.20 / $319.20	Facility	26	$152.38	$319.20	$319.20
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $74.26 / $74.26 / $74.26	Facility	26	$74.26	$74.26	$74.26