Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.43 / $24.63 / $136.10	Facility	26	$23.43	$24.63	$136.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.68 / $26.68 / $26.68	Facility	26	$26.68	$26.68	$26.68
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $19.60 / $24.53 / $33.11	Professional	26	$19.60	$24.53	$33.11
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $22.08 / $29.70 / $46.12	Professional	26	$22.08	$29.70	$46.12
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $110.49 / $110.49	Facility	26	$100.00	$110.49	$110.49
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $26.68 / $26.68 / $26.68	Facility	26	$26.68	$26.68	$26.68