Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.98 / $63.02 / $333.46	Facility	26	$56.98	$63.02	$333.46
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.21 / $62.21 / $62.21	Facility	26	$62.21	$62.21	$62.21
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $60.57 / $73.17 / $111.37	Professional	26	$60.57	$73.17	$111.37
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $49.67 / $60.57 / $132.04	Professional	26	$49.67	$60.57	$132.04
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $128.65 / $256.38 / $266.76	Facility	26	$128.65	$256.38	$266.76
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $62.21 / $62.21 / $62.21	Facility	26	$62.21	$62.21	$62.21