Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.98 / $34.52 / $208.06	Facility	26	$30.98	$34.52	$208.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.16 / $26.16 / $26.16	Facility	26	$26.16	$26.16	$26.16
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $25.55 / $34.49 / $45.59	Professional	26	$25.55	$34.49	$45.59
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $23.00 / $31.94 / $55.70	Professional	26	$23.00	$31.94	$55.70
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $53.69 / $147.54 / $147.54	Facility	26	$53.69	$147.54	$147.54
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $26.16 / $26.16 / $26.16	Facility	26	$26.16	$26.16	$26.16