Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.30 / $17.16 / $103.88	Facility	26	$16.30	$17.16	$103.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.67 / $19.67 / $19.67	Facility	26	$19.67	$19.67	$19.67
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $14.80 / $18.92 / $25.54	Professional	26	$14.80	$18.92	$25.54
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $16.77 / $22.70 / $35.57	Professional	26	$16.77	$22.70	$35.57
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $49.08 / $83.60 / $83.60	Facility	26	$49.08	$83.60	$83.60
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $19.67 / $19.67 / $19.67	Facility	26	$19.67	$19.67	$19.67