Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.56 / $80.19 / $458.31	Facility	26	$76.56	$80.19	$458.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.50 / $87.50 / $87.50	Facility	26	$87.50	$87.50	$87.50
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $61.89 / $83.24 / $112.37	Professional	26	$61.89	$83.24	$112.37
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $74.48 / $100.55 / $156.49	Professional	26	$74.48	$100.55	$156.49
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $180.94 / $371.26 / $371.26	Facility	26	$180.94	$371.26	$371.26
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $87.50 / $87.50 / $87.50	Facility	26	$87.50	$87.50	$87.50