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 $26.51 / $26.51 / $26.51	Facility	26	$26.51	$26.51	$26.51
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $26.01 / $35.11 / $45.59	Professional	26	$26.01	$35.11	$45.59
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $23.41 / $32.51 / $56.70	Professional	26	$23.41	$32.51	$56.70
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $54.32 / $147.54 / $147.54	Facility	26	$54.32	$147.54	$147.54
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $26.51 / $26.51 / $26.51	Facility	26	$26.51	$26.51	$26.51