Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.85 / $10.35 / $10.35	Facility	26	$9.85	$10.35	$10.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.70 / $19.93 / $31.06	Professional		$15.70	$19.93	$31.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.61 / $9.73 / $15.66	Professional	26	$8.61	$9.73	$15.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $6.90 / $10.11 / $15.39	Professional	TC	$6.90	$10.11	$15.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $26.09 / $40.15	Professional		$19.89	$26.09	$40.15
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.49 / $13.76 / $19.75	Professional	26	$10.49	$13.76	$19.75
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.40 / $12.51 / $19.64	Professional	TC	$9.40	$12.51	$19.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.95 / $27.00 / $50.00	Professional		$16.95	$27.00	$50.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.83 / $13.50 / $23.58	Professional	26	$8.83	$13.50	$23.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $7.93 / $12.54 / $26.54	Professional	TC	$7.93	$12.54	$26.54
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $35.11 / $36.70	Professional		$35.11	$35.11	$36.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.67 / $30.75 / $41.76	Professional		$24.67	$30.75	$41.76
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $12.81 / $15.96 / $21.67	Professional	26	$12.81	$15.96	$21.67
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $11.86 / $14.77 / $20.05	Professional	TC	$11.86	$14.77	$20.05
United Facility/Professional Professional Modifier Low / Median / High Price $21.44 / $32.15 / $50.94	Professional		$21.44	$32.15	$50.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.10 / $17.37 / $27.08	Professional	26	$10.10	$17.37	$27.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.39 / $14.72 / $21.65	Professional	TC	$10.39	$14.72	$21.65