Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $43.65 / $141.25	Facility	26	$21.88	$43.65	$141.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.62 / $26.30 / $38.02	Facility	26	$5.62	$26.30	$38.02
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $25.70 / $35.48	Professional	26	$16.98	$25.70	$35.48
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $30.20 / $48.98	Professional	26	$22.91	$30.20	$48.98
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $144.54 / $144.54 / $144.54	Facility	26	$144.54	$144.54	$144.54
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $5.62 / $26.30 / $38.02	Facility	26	$5.62	$26.30	$38.02