Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.59 / $8.60 / $10.94	Facility	26	$8.59	$8.60	$10.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.89 / $36.68 / $67.09	Professional		$29.89	$36.68	$67.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.60 / $15.89	Professional	26	$7.33	$8.60	$15.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $28.13 / $50.73	Professional	TC	$22.57	$28.13	$50.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.26 / $54.84 / $80.65	Professional		$36.26	$54.84	$80.65
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.67 / $11.86 / $17.00	Professional	26	$8.67	$11.86	$17.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.36 / $43.32 / $63.71	Professional	TC	$28.36	$43.32	$63.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.51 / $42.75 / $75.93	Professional		$27.51	$42.75	$75.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.38 / $11.08 / $18.98	Professional	26	$7.38	$11.08	$18.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.85 / $30.82 / $55.75	Professional	TC	$19.85	$30.82	$55.75
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $70.48 / $70.48 / $75.48	Professional		$70.48	$70.48	$75.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.53 / $61.72 / $83.82	Professional		$49.53	$61.72	$83.82
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.65 / $13.27 / $18.02	Professional	26	$10.65	$13.27	$18.02
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $38.86 / $48.44 / $65.78	Professional	TC	$38.86	$48.44	$65.78
United Facility/Professional Professional Modifier Low / Median / High Price $31.38 / $57.15 / $86.70	Professional		$31.38	$57.15	$86.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.59 / $14.43 / $24.54	Professional	26	$8.59	$14.43	$24.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.74 / $42.91 / $65.45	Professional	TC	$22.74	$42.91	$65.45