Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.14 / $29.51 / $97.72	Facility	26	$15.14	$29.51	$97.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.80 / $17.78 / $25.12	Facility	26	$3.80	$17.78	$25.12
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $17.78 / $23.99	Professional	26	$13.80	$17.78	$23.99
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $20.42 / $33.11	Professional	26	$15.49	$20.42	$33.11
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $3.80 / $17.78 / $25.12	Facility	26	$3.80	$17.78	$25.12