Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $45.71 / $134.90	Facility	26	$22.91	$45.71	$134.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.62 / $26.30 / $38.02	Facility	26	$5.62	$26.30	$38.02
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $26.30 / $35.48	Professional	26	$19.50	$26.30	$35.48
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $30.20 / $48.98	Professional	26	$23.44	$30.20	$48.98
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $147.91 / $147.91 / $147.91	Facility	26	$147.91	$147.91	$147.91
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $5.62 / $26.30 / $38.02	Facility	26	$5.62	$26.30	$38.02