Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.64 / $26.28 / $157.07	Facility	26	$23.64	$26.28	$157.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.97 / $28.97 / $28.97	Facility	26	$28.97	$28.97	$28.97
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $28.16 / $38.02 / $60.65	Professional	26	$28.16	$38.02	$60.65
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $25.34 / $35.20 / $61.39	Professional	26	$25.34	$35.20	$61.39
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $60.16 / $115.03 / $124.50	Facility	26	$60.16	$115.03	$124.50
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $28.97 / $28.97 / $28.97	Facility	26	$28.97	$28.97	$28.97