Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $177.83 / $549.54	Facility	26	$87.10	$177.83	$549.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $107.15 / $151.36	Facility	26	$22.91	$107.15	$151.36
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $114.82 / $141.25	Professional	26	$104.71	$114.82	$141.25
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $125.89 / $194.98	Professional	26	$93.33	$125.89	$194.98
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $588.84 / $1,071.52 / $1,071.52	Facility	26	$588.84	$1,071.52	$1,071.52
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $107.15 / $151.36	Facility	26	$22.91	$107.15	$151.36