Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.75 / $16.25 / $19.62	Facility	26	$12.75	$16.25	$19.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $47.41 / $78.70	Professional		$38.36	$47.41	$78.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.55 / $12.76 / $22.42	Professional	26	$10.55	$12.76	$22.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.93 / $34.33 / $59.42	Professional	TC	$25.93	$34.33	$59.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.67 / $68.78 / $98.95	Professional		$48.67	$68.78	$98.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.37 / $17.55 / $25.20	Professional	26	$13.37	$17.55	$25.20
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.81 / $50.97 / $73.88	Professional	TC	$33.81	$50.97	$73.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $56.70 / $97.13	Professional		$36.22	$56.70	$97.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.25 / $16.55 / $28.14	Professional	26	$11.25	$16.55	$28.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.68 / $37.85 / $65.92	Professional	TC	$24.68	$37.85	$65.92
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $87.25 / $87.25 / $93.24	Professional		$87.25	$87.25	$93.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.31 / $76.40 / $103.75	Professional		$61.31	$76.40	$103.75
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $15.80 / $19.68 / $26.73	Professional	26	$15.80	$19.68	$26.73
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $45.51 / $56.72 / $77.02	Professional	TC	$45.51	$56.72	$77.02
United Facility/Professional Professional Modifier Low / Median / High Price $42.20 / $74.50 / $109.66	Professional		$42.20	$74.50	$109.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.99 / $21.94 / $33.22	Professional	26	$12.99	$21.94	$33.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.21 / $50.70 / $78.28	Professional	TC	$29.21	$50.70	$78.28