Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.79 / $97.91 / $580.27	Facility	26	$88.79	$97.91	$580.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.90 / $113.90 / $113.90	Facility	26	$113.90	$113.90	$113.90
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $55.88 / $107.46 / $139.69	Professional	26	$55.88	$107.46	$139.69
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $96.71 / $134.61 / $234.26	Professional	26	$96.71	$134.61	$234.26
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $229.64 / $454.15 / $481.98	Facility	26	$229.64	$454.15	$481.98
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $113.90 / $113.90 / $113.90	Facility	26	$113.90	$113.90	$113.90