Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.71 / $17.43 / $103.88	Facility	26	$16.71	$17.43	$103.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.01 / $15.01 / $15.01	Facility	26	$15.01	$15.01	$15.01
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $14.28 / $14.38 / $19.41	Professional	26	$14.28	$14.38	$19.41
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $12.75 / $17.26 / $27.03	Professional	26	$12.75	$17.26	$27.03
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $58.90 / $115.00 / $115.00	Facility	26	$58.90	$115.00	$115.00
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $15.01 / $15.01 / $15.01	Facility	26	$15.01	$15.01	$15.01