Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.02 / $69.18 / $386.75	Facility	26	$66.02	$69.18	$386.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.48 / $74.48 / $74.48	Facility	26	$74.48	$74.48	$74.48
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $51.85 / $70.48 / $95.15	Professional	26	$51.85	$70.48	$95.15
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $63.18 / $85.29 / $132.50	Professional	26	$63.18	$85.29	$132.50
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $154.38 / $314.55 / $314.55	Facility	26	$154.38	$314.55	$314.55
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $74.48 / $74.48 / $74.48	Facility	26	$74.48	$74.48	$74.48