Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $57.54 / $257.04	Facility	26	$51.29	$57.54	$257.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $50.12 / $72.44	Facility	26	$10.96	$50.12	$72.44
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $63.10 / $75.86	Professional	26	$56.23	$63.10	$75.86
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $64.57 / $104.71	Professional	26	$48.98	$64.57	$104.71
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $288.40 / $288.40 / $288.40	Facility	26	$288.40	$288.40	$288.40
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $50.12 / $72.44	Facility	26	$10.96	$50.12	$72.44