Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.65 / $44.11 / $265.88	Facility	26	$39.65	$44.11	$265.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.82 / $30.82 / $30.82	Facility	26	$30.82	$30.82	$30.82
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $30.09 / $37.99 / $45.59	Professional	26	$30.09	$37.99	$45.59
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $27.08 / $37.61 / $65.59	Professional	26	$27.08	$37.61	$65.59
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $63.45 / $188.97 / $188.97	Facility	26	$63.45	$188.97	$188.97
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $30.82 / $30.82 / $30.82	Facility	26	$30.82	$30.82	$30.82