Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $109.65 / $302.00	Facility	26	$56.23	$109.65	$302.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.18 / $61.66 / $89.13	Facility	26	$13.18	$61.66	$89.13
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $75.86 / $109.65	Professional	26	$63.10	$75.86	$109.65
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $57.54 / $100.00	Professional	26	$51.29	$57.54	$100.00
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $346.74 / $346.74 / $346.74	Facility	26	$346.74	$346.74	$346.74