Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.58 / $55.06 / $318.47	Facility	26	$52.58	$55.06	$318.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.00 / $60.00 / $60.00	Facility	26	$60.00	$60.00	$60.00
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $42.97 / $57.05 / $77.02	Professional	26	$42.97	$57.05	$77.02
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $50.85 / $68.65 / $107.25	Professional	26	$50.85	$68.65	$107.25
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $123.66 / $253.08 / $253.08	Facility	26	$123.66	$253.08	$253.08
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $60.00 / $60.00 / $60.00	Facility	26	$60.00	$60.00	$60.00