Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.28 / $23.24 / $133.02	Facility	26	$22.28	$23.24	$133.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.18 / $25.18 / $25.18	Facility	26	$25.18	$25.18	$25.18
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.32 / $23.75 / $32.06	Professional	26	$9.32	$23.75	$32.06
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $21.24 / $28.67 / $44.65	Professional	26	$21.24	$28.67	$44.65
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $129.00 / $129.00	Facility	26	$100.00	$129.00	$129.00
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $25.18 / $25.18 / $25.18	Facility	26	$25.18	$25.18	$25.18