Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.31 / $13.88 / $78.19	Facility	26	$13.31	$13.88	$78.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.01 / $15.01 / $15.01	Facility	26	$15.01	$15.01	$15.01
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.30 / $14.84 / $20.03	Professional	26	$10.30	$14.84	$20.03
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $13.11 / $17.80 / $27.90	Professional	26	$13.11	$17.80	$27.90
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $36.81 / $100.00 / $100.00	Facility	26	$36.81	$100.00	$100.00
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $15.01 / $15.01 / $15.01	Facility	26	$15.01	$15.01	$15.01