Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.46 / $56.50 / $305.87	Facility	26	$50.46	$56.50	$305.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.98 / $58.98 / $58.98	Facility	26	$58.98	$58.98	$58.98
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $55.04 / $60.54 / $74.30	Professional	26	$55.04	$60.54	$74.30
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $49.45 / $66.68 / $103.48	Professional	26	$49.45	$66.68	$103.48
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $121.19 / $246.05 / $246.05	Facility	26	$121.19	$246.05	$246.05
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $58.98 / $58.98 / $58.98	Facility	26	$58.98	$58.98	$58.98