Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.82 / $56.62 / $344.57	Facility	26	$53.82	$56.62	$344.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.56 / $63.56 / $63.56	Facility	26	$63.56	$63.56	$63.56
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $52.24 / $62.51 / $84.39	Professional	26	$52.24	$62.51	$84.39
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $55.03 / $75.01 / $118.76	Professional	26	$55.03	$75.01	$118.76
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $131.63 / $274.36 / $274.36	Facility	26	$131.63	$274.36	$274.36
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $63.56 / $63.56 / $63.56	Facility	26	$63.56	$63.56	$63.56