Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $315.37 / $338.94 / $1,758.69	Facility	26	$315.37	$338.94	$1,758.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $343.68 / $343.68 / $343.68	Facility	26	$343.68	$343.68	$343.68
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $317.01 / $380.41 / $528.97	Professional	26	$317.01	$380.41	$528.97
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $262.85 / $317.01 / $673.33	Professional	26	$262.85	$317.01	$673.33
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $2,208.08 / $2,691.76 / $2,772.64	Facility	26	$2,208.08	$2,691.76	$2,772.64
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $343.68 / $343.68 / $343.68	Facility	26	$343.68	$343.68	$343.68