Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.38 / $23.41 / $141.63	Facility	26	$22.38	$23.41	$141.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.26 / $26.26 / $26.26	Facility	26	$26.26	$26.26	$26.26
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $16.88 / $25.48 / $34.40	Professional	26	$16.88	$25.48	$34.40
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $22.63 / $30.58 / $47.90	Professional	26	$22.63	$30.58	$47.90
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $73.63 / $117.00 / $117.00	Facility	26	$73.63	$117.00	$117.00
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $26.26 / $26.26 / $26.26	Facility	26	$26.26	$26.26	$26.26