Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.19 / $8.60 / $12.89	Facility	26	$8.19	$8.60	$12.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.14 / $32.83 / $54.44	Professional		$25.14	$32.83	$54.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.11 / $8.60 / $12.99	Professional	26	$7.11	$8.60	$12.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.30 / $24.20 / $41.46	Professional	TC	$18.30	$24.20	$41.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $47.58 / $68.45	Professional		$34.22	$47.58	$68.45
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.03 / $11.86 / $17.00	Professional	26	$9.03	$11.86	$17.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.19 / $35.33 / $50.83	Professional	TC	$25.19	$35.33	$50.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.58 / $39.03 / $67.48	Professional		$25.58	$39.03	$67.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $11.08 / $18.98	Professional	26	$7.59	$11.08	$18.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.92 / $27.68 / $47.24	Professional	TC	$17.92	$27.68	$47.24
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $60.40 / $60.40 / $64.47	Professional		$60.40	$60.40	$64.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.45 / $52.89 / $71.83	Professional		$42.45	$52.89	$71.83
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 $31.79 / $39.61 / $53.79	Professional	TC	$31.79	$39.61	$53.79
United Facility/Professional Professional Modifier Low / Median / High Price $29.83 / $50.46 / $74.56	Professional		$29.83	$50.46	$74.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.57 / $14.43 / $21.79	Professional	26	$8.57	$14.43	$21.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.91 / $35.81 / $72.30	Professional	TC	$20.91	$35.81	$72.30