Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.14 / $17.57 / $19.85	Facility	26	$13.14	$17.57	$19.85
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $33.54 / $107.93 / $685.06	Facility	TC	$33.54	$107.93	$685.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.81 / $47.34 / $75.06	Professional		$37.81	$47.34	$75.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.16 / $15.33 / $33.33	Professional	26	$12.16	$15.33	$33.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.64 / $31.92 / $54.21	Professional	TC	$25.64	$31.92	$54.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.36 / $65.95 / $94.21	Professional		$47.36	$65.95	$94.21
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.98 / $19.23 / $28.11	Professional	26	$14.98	$19.23	$28.11
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.21 / $46.50 / $66.42	Professional	TC	$33.21	$46.50	$66.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $58.87 / $102.31	Professional		$40.11	$58.87	$102.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.35 / $19.32 / $35.61	Professional	26	$12.35	$19.32	$35.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.32 / $37.14 / $62.69	Professional	TC	$25.32	$37.14	$62.69
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $83.42 / $83.42 / $88.93	Professional		$83.42	$83.42	$88.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.62 / $73.05 / $99.20	Professional		$58.62	$73.05	$99.20
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 $41.52 / $51.74 / $70.27	Professional	TC	$41.52	$51.74	$70.27
United Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $73.52 / $107.31	Professional		$47.57	$73.52	$107.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.30 / $24.27 / $37.00	Professional	26	$16.30	$24.27	$37.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.25 / $47.92 / $71.37	Professional	TC	$30.25	$47.92	$71.37