Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.56 / $113.87 / $601.67	Facility	26	$105.56	$113.87	$601.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.78 / $114.78 / $114.78	Facility	26	$114.78	$114.78	$114.78
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $109.95 / $148.43 / $230.40	Professional	26	$109.95	$148.43	$230.40
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $97.98 / $137.44 / $231.89	Professional	26	$97.98	$137.44	$231.89
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $235.69 / $460.02 / $488.54	Facility	26	$235.69	$460.02	$488.54
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $114.78 / $114.78 / $114.78	Facility	26	$114.78	$114.78	$114.78