Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.82 / $59.48 / $312.94	Facility	26	$57.82	$59.48	$312.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.16 / $62.16 / $62.16	Facility	26	$62.16	$62.16	$62.16
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $45.07 / $58.83 / $79.42	Professional	26	$45.07	$58.83	$79.42
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $52.65 / $71.08 / $110.60	Professional	26	$52.65	$71.08	$110.60
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $126.99 / $263.10 / $263.10	Facility	26	$126.99	$263.10	$263.10
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $62.16 / $62.16 / $62.16	Facility	26	$62.16	$62.16	$62.16