Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.85 / $31.62 / $169.82	Facility	26	$15.85	$31.62	$169.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.76 / $31.62 / $45.71	Facility	26	$6.76	$31.62	$45.71
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $30.90 / $41.69	Professional	26	$8.32	$30.90	$41.69
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $35.48 / $58.88	Professional	26	$27.54	$35.48	$58.88
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $177.83 / $177.83 / $177.83	Facility	26	$177.83	$177.83	$177.83
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $6.76 / $31.62 / $45.71	Facility	26	$6.76	$31.62	$45.71