Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.80 / $13.80 / $17.97	Facility	26	$13.80	$13.80	$17.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.01 / $48.84 / $80.29	Professional		$37.01	$48.84	$80.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.12 / $13.80 / $22.29	Professional	26	$11.12	$13.80	$22.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.93 / $34.72 / $59.42	Professional	TC	$25.93	$34.72	$59.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.41 / $70.19 / $100.99	Professional		$50.41	$70.19	$100.99
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.46 / $18.98 / $27.24	Professional	26	$14.46	$18.98	$27.24
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.92 / $50.97 / $73.88	Professional	TC	$33.92	$50.97	$73.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.52 / $56.47 / $98.06	Professional		$37.52	$56.47	$98.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.17 / $17.80 / $30.43	Professional	26	$12.17	$17.80	$30.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.00 / $37.85 / $65.12	Professional	TC	$25.00	$37.85	$65.12
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $89.08 / $89.08 / $95.13	Professional		$89.08	$89.08	$95.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.60 / $78.00 / $105.93	Professional		$62.60	$78.00	$105.93
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $17.07 / $21.29 / $28.91	Professional	26	$17.07	$21.29	$28.91
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 $43.64 / $74.70 / $112.67	Professional		$43.64	$74.70	$112.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.87 / $23.10 / $34.95	Professional	26	$13.87	$23.10	$34.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.57 / $50.70 / $73.12	Professional	TC	$29.57	$50.70	$73.12