Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.72 / $14.92 / $18.02	Facility	26	$11.72	$14.92	$18.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.75 / $53.72 / $89.84	Professional		$39.75	$53.72	$89.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.71 / $11.72 / $18.96	Professional	26	$9.71	$11.72	$18.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.13 / $41.31 / $72.16	Professional	TC	$31.13	$41.31	$72.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.02 / $77.17 / $111.83	Professional		$53.02	$77.17	$111.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.29 / $16.13 / $23.16	Professional	26	$12.29	$16.13	$23.16
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $61.26 / $88.79	Professional	TC	$42.66	$61.26	$88.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.08 / $61.66 / $109.47	Professional		$40.08	$61.66	$109.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.33 / $15.56 / $26.64	Professional	26	$10.33	$15.56	$26.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.19 / $45.40 / $79.90	Professional	TC	$29.19	$45.40	$79.90
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $99.27 / $99.27 / $106.49	Professional		$99.27	$99.27	$106.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.76 / $86.93 / $118.05	Professional		$69.76	$86.93	$118.05
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $14.51 / $18.07 / $24.55	Professional	26	$14.51	$18.07	$24.55
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $55.25 / $68.84 / $93.50	Professional	TC	$55.25	$68.84	$93.50
United Facility/Professional Professional Modifier Low / Median / High Price $46.62 / $83.73 / $123.25	Professional		$46.62	$83.73	$123.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.25 / $20.41 / $31.58	Professional	26	$12.25	$20.41	$31.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.25 / $62.46 / $94.60	Professional	TC	$35.25	$62.46	$94.60