Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.52 / $8.94 / $12.25	Facility	26	$8.52	$8.94	$12.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $36.63 / $65.38	Professional		$28.52	$36.63	$65.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.11 / $8.94 / $15.33	Professional	26	$7.11	$8.94	$15.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.94 / $27.35 / $51.90	Professional	TC	$21.94	$27.35	$51.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.28 / $55.69 / $81.33	Professional		$37.28	$55.69	$81.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.40 / $12.33 / $17.64	Professional	26	$9.40	$12.33	$17.64
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.00 / $43.80 / $63.71	Professional	TC	$29.00	$43.80	$63.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.55 / $42.83 / $76.19	Professional		$26.55	$42.83	$76.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.89 / $11.53 / $19.75	Professional	26	$7.89	$11.53	$19.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.55 / $30.26 / $54.91	Professional	TC	$18.55	$30.26	$54.91
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $72.34 / $72.34 / $77.44	Professional		$72.34	$72.34	$77.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.83 / $63.34 / $86.02	Professional		$50.83	$63.34	$86.02
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 $39.75 / $49.54 / $67.28	Professional	TC	$39.75	$49.54	$67.28
United Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $59.47 / $88.57	Professional		$30.32	$59.47	$88.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.94 / $15.01 / $22.66	Professional	26	$8.94	$15.01	$22.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.60 / $44.66 / $60.07	Professional	TC	$21.60	$44.66	$60.07