Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.41 / $12.41 / $15.36	Facility	26	$12.41	$12.41	$15.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $43.59 / $77.69	Professional		$33.04	$43.59	$77.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.98 / $12.35 / $31.21	Professional	26	$9.98	$12.35	$31.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.70 / $31.24 / $56.56	Professional	TC	$23.70	$31.24	$56.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $63.59 / $91.50	Professional		$45.60	$63.59	$91.50
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.65 / $16.60 / $23.84	Professional	26	$12.65	$16.60	$23.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.82 / $46.13 / $67.09	Professional	TC	$30.82	$46.13	$67.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $52.34 / $89.22	Professional		$33.65	$52.34	$89.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.64 / $16.01 / $27.38	Professional	26	$10.64	$16.01	$27.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.43 / $34.20 / $59.66	Professional	TC	$22.43	$34.20	$59.66
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $81.59 / $87.14	Professional		$81.59	$81.59	$87.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.34 / $71.45 / $97.04	Professional		$57.34	$71.45	$97.04
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $15.37 / $19.14 / $26.00	Professional	26	$15.37	$19.14	$26.00
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $41.96 / $52.29 / $71.02	Professional	TC	$41.96	$52.29	$71.02
United Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $67.00 / $101.16	Professional		$38.72	$67.00	$101.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.46 / $21.24 / $41.97	Professional	26	$12.46	$21.24	$41.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.33 / $47.94 / $96.78	Professional	TC	$26.33	$47.94	$96.78