Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $100.00 / $309.03	Facility	26	$52.48	$100.00	$309.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $58.88 / $83.18	Facility	26	$12.59	$58.88	$83.18
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $61.66 / $75.86	Professional	26	$56.23	$61.66	$75.86
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $66.07 / $104.71	Professional	26	$48.98	$66.07	$104.71
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $323.59 / $323.59 / $323.59	Facility	26	$323.59	$323.59	$323.59
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $58.88 / $83.18	Facility	26	$12.59	$58.88	$83.18