Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.19 / $28.31 / $160.94	Facility	26	$25.19	$28.31	$160.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.76 / $30.76 / $30.76	Facility	26	$30.76	$30.76	$30.76
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $29.68 / $40.07 / $52.31	Professional	26	$29.68	$40.07	$52.31
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $26.71 / $37.10 / $62.31	Professional	26	$26.71	$37.10	$62.31
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $62.39 / $121.12 / $131.05	Facility	26	$62.39	$121.12	$131.05
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $30.76 / $30.76 / $30.76	Facility	26	$30.76	$30.76	$30.76