Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $10.00 / $10.00	Facility	26	$10.00	$10.00	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $33.11 / $51.03	Professional		$23.82	$33.11	$51.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.39 / $9.98 / $15.06	Professional	26	$7.39	$9.98	$15.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.51 / $23.13 / $33.65	Professional	TC	$16.51	$23.13	$33.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.75 / $47.11 / $67.78	Professional		$33.75	$47.11	$67.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.11 / $13.66 / $19.64	Professional	26	$10.11	$13.66	$19.64
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.95 / $33.44 / $48.12	Professional	TC	$23.95	$33.44	$48.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.26 / $39.46 / $67.65	Professional		$25.26	$39.46	$67.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.31 / $12.79 / $22.25	Professional	26	$8.31	$12.79	$22.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.95 / $25.65 / $44.04	Professional	TC	$16.95	$25.65	$44.04
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $59.72 / $59.72 / $63.60	Professional		$59.72	$59.72	$63.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.96 / $52.29 / $71.02	Professional		$41.96	$52.29	$71.02
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $12.39 / $15.44 / $20.97	Professional	26	$12.39	$15.44	$20.97
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $29.58 / $36.86 / $50.05	Professional	TC	$29.58	$36.86	$50.05
United Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $50.81 / $75.59	Professional		$29.72	$50.81	$75.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.38 / $16.91 / $33.82	Professional	26	$9.38	$16.91	$33.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.19 / $34.06 / $53.22	Professional	TC	$20.19	$34.06	$53.22