Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.85 / $31.62 / $107.15	Facility	26	$15.85	$31.62	$107.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.17 / $19.50 / $27.54	Facility	26	$4.17	$19.50	$27.54
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $19.05 / $25.70	Professional	26	$14.79	$19.05	$25.70
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $21.88 / $36.31	Professional	26	$16.98	$21.88	$36.31
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $109.65 / $109.65	Facility	26	$109.65	$109.65	$109.65
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $4.17 / $19.50 / $27.54	Facility	26	$4.17	$19.50	$27.54