Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $186.77 / $200.75 / $1,003.62	Facility	26	$186.77	$200.75	$1,003.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $196.61 / $196.61 / $196.61	Facility	26	$196.61	$196.61	$196.61
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $181.80 / $285.20 / $434.08	Professional	26	$181.80	$285.20	$434.08
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $150.81 / $181.80 / $396.32	Professional	26	$150.81	$181.80	$396.32
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $1,268.32 / $1,545.44 / $1,587.28	Facility	26	$1,268.32	$1,545.44	$1,587.28
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $196.61 / $196.61 / $196.61	Facility	26	$196.61	$196.61	$196.61