Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.69 / $40.40 / $242.73	Facility	26	$39.69	$40.40	$242.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.31 / $48.31 / $48.31	Facility	26	$48.31	$48.31	$48.31
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $42.83 / $45.98 / $62.07	Professional	26	$42.83	$45.98	$62.07
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $40.94 / $55.27 / $86.44	Professional	26	$40.94	$55.27	$86.44
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $122.71 / $205.82 / $205.82	Facility	26	$122.71	$205.82	$205.82
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $48.31 / $48.31 / $48.31	Facility	26	$48.31	$48.31	$48.31