Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.35 / $63.20 / $358.86	Facility	26	$60.35	$63.20	$358.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.56 / $68.56 / $68.56	Facility	26	$68.56	$68.56	$68.56
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $47.61 / $64.70 / $87.35	Professional	26	$47.61	$64.70	$87.35
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $57.85 / $78.09 / $121.64	Professional	26	$57.85	$78.09	$121.64
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $157.07 / $287.95 / $287.95	Facility	26	$157.07	$287.95	$287.95
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $68.56 / $68.56 / $68.56	Facility	26	$68.56	$68.56	$68.56