Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.93 / $26.15 / $233.51	Facility	26	$24.93	$26.15	$233.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.41 / $44.41 / $44.41	Facility	26	$44.41	$44.41	$44.41
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $22.41 / $43.41 / $58.60	Professional	26	$22.41	$43.41	$58.60
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $38.36 / $52.09 / $81.61	Professional	26	$38.36	$52.09	$81.61
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $191.09 / $191.09	Facility	26	$100.00	$191.09	$191.09
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $44.41 / $44.41 / $44.41	Facility	26	$44.41	$44.41	$44.41