Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.07 / $118.75 / $735.85	Facility	26	$113.07	$118.75	$735.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $137.06 / $137.06 / $137.06	Facility	26	$137.06	$137.06	$137.06
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $90.64 / $133.38 / $180.06	Professional	26	$90.64	$133.38	$180.06
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $118.17 / $160.06 / $271.75	Professional	26	$118.17	$160.06	$271.75
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $1,102.00 / $1,102.00 / $1,122.16	Facility	26	$1,102.00	$1,102.00	$1,122.16
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $137.06 / $137.06 / $137.06	Facility	26	$137.06	$137.06	$137.06