Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.81 / $57.18 / $319.42	Facility	26	$54.81	$57.18	$319.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.17 / $60.17 / $60.17	Facility	26	$60.17	$60.17	$60.17
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $55.39 / $56.41 / $76.15	Professional	26	$55.39	$56.41	$76.15
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $50.60 / $68.31 / $106.05	Professional	26	$50.60	$68.31	$106.05
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $132.53 / $251.61 / $251.61	Facility	26	$132.53	$251.61	$251.61
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $60.17 / $60.17 / $60.17	Facility	26	$60.17	$60.17	$60.17