Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.46 / $16.11 / $94.82	Facility	26	$15.46	$16.11	$94.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.75 / $17.75 / $17.75	Facility	26	$17.75	$17.75	$17.75
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.70 / $17.27 / $23.31	Professional	26	$13.70	$17.27	$23.31
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $15.25 / $20.72 / $32.47	Professional	26	$15.25	$20.72	$32.47
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $49.08 / $100.00 / $100.00	Facility	26	$49.08	$100.00	$100.00
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $17.75 / $17.75 / $17.75	Facility	26	$17.75	$17.75	$17.75