Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.86 / $96.00 / $544.86	Facility	26	$88.86	$96.00	$544.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.76 / $106.76 / $106.76	Facility	26	$106.76	$106.76	$106.76
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $99.68 / $109.65 / $134.57	Professional	26	$99.68	$109.65	$134.57
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $89.71 / $124.60 / $211.72	Professional	26	$89.71	$124.60	$211.72
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $217.55 / $1,072.58 / $1,072.58	Facility	26	$217.55	$1,072.58	$1,072.58
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $106.76 / $106.76 / $106.76	Facility	26	$106.76	$106.76	$106.76