Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.95 / $77.26 / $466.28	Facility	26	$74.95	$77.26	$466.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.95 / $87.95 / $87.95	Facility	26	$87.95	$87.95	$87.95
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $64.27 / $85.10 / $114.89	Professional	26	$64.27	$85.10	$114.89
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $75.26 / $106.11 / $178.55	Professional	26	$75.26	$106.11	$178.55
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $181.03 / $345.15 / $375.01	Facility	26	$181.03	$345.15	$375.01
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $87.95 / $87.95 / $87.95	Facility	26	$87.95	$87.95	$87.95