Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.73 / $69.19 / $391.68	Facility	26	$65.73	$69.19	$391.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.83 / $74.83 / $74.83	Facility	26	$74.83	$74.83	$74.83
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $71.40 / $78.54 / $96.39	Professional	26	$71.40	$78.54	$96.39
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $63.89 / $86.25 / $134.22	Professional	26	$63.89	$86.25	$134.22
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $155.65 / $318.20 / $318.20	Facility	26	$155.65	$318.20	$318.20
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $74.83 / $74.83 / $74.83	Facility	26	$74.83	$74.83	$74.83