Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.76 / $33.27 / $339.14	Facility	26	$31.76	$33.27	$339.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.29 / $63.29 / $63.29	Facility	26	$63.29	$63.29	$63.29
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $29.12 / $61.17 / $82.58	Professional	26	$29.12	$61.17	$82.58
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $54.13 / $73.40 / $115.00	Professional	26	$54.13	$73.40	$115.00
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $130.34 / $269.66 / $269.66	Facility	26	$130.34	$269.66	$269.66
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $63.29 / $63.29 / $63.29	Facility	26	$63.29	$63.29	$63.29