Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.90 / $30.23 / $183.51	Facility	26	$28.90	$30.23	$183.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.40 / $35.40 / $35.40	Facility	26	$35.40	$35.40	$35.40
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $16.18 / $33.29 / $44.96	Professional	26	$16.18	$33.29	$44.96
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $29.52 / $41.61 / $70.01	Professional	26	$29.52	$41.61	$70.01
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $93.26 / $136.22 / $147.30	Facility	26	$93.26	$136.22	$147.30
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $35.40 / $35.40 / $35.40	Facility	26	$35.40	$35.40	$35.40