Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $117.49 / $363.08	Facility	26	$60.26	$117.49	$363.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.45 / $67.61 / $97.72	Facility	26	$14.45	$67.61	$97.72
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $66.07 / $89.13	Professional	26	$47.86	$66.07	$89.13
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $75.86 / $123.03	Professional	26	$58.88	$75.86	$123.03
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $371.54 / $371.54 / $371.54	Facility	26	$371.54	$371.54	$371.54
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $14.45 / $67.61 / $97.72	Facility	26	$14.45	$67.61	$97.72