Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $47.86 / $239.88	Facility	26	$23.99	$47.86	$239.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.55 / $44.67 / $63.10	Facility	26	$9.55	$44.67	$63.10
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $45.71 / $61.66	Professional	26	$22.39	$45.71	$61.66
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $52.48 / $87.10	Professional	26	$40.74	$52.48	$87.10
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $239.88 / $239.88 / $239.88	Facility	26	$239.88	$239.88	$239.88
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $9.55 / $44.67 / $63.10	Facility	26	$9.55	$44.67	$63.10