Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.94 / $8.94 / $12.01	Facility	26	$8.94	$8.94	$12.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.06 / $31.64 / $52.81	Professional		$24.06	$31.64	$52.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.84 / $8.55 / $16.00	Professional	26	$6.84	$8.55	$16.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.50 / $23.10 / $39.29	Professional	TC	$17.50	$23.10	$39.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.82 / $47.33 / $69.13	Professional		$31.82	$47.33	$69.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.99 / $12.24 / $17.62	Professional	26	$8.99	$12.24	$17.62
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $33.15 / $43.50 / $57.76	Professional	50	$33.15	$43.50	$57.76
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.26 / $34.95 / $50.83	Professional	TC	$23.26	$34.95	$50.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.29 / $37.24 / $65.17	Professional		$24.29	$37.24	$65.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $10.99 / $18.22	Professional	26	$7.58	$10.99	$18.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.63 / $25.53 / $45.59	Professional	TC	$16.63	$25.53	$45.59
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $61.62 / $61.62 / $65.77	Professional		$61.62	$61.62	$65.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.30 / $53.96 / $73.28	Professional		$43.30	$53.96	$73.28
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $11.08 / $13.80 / $18.73	Professional	26	$11.08	$13.80	$18.73
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $32.22 / $40.15 / $54.54	Professional	TC	$32.22	$40.15	$54.54
United Facility/Professional Professional Modifier Low / Median / High Price $27.77 / $47.99 / $71.59	Professional		$27.77	$47.99	$71.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.49 / $13.86 / $27.98	Professional	26	$8.49	$13.86	$27.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.11 / $36.38 / $73.45	Professional	TC	$19.11	$36.38	$73.45