Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.94 / $8.94 / $350.00	Facility	26	$8.94	$8.94	$350.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $30.49 / $55.42	Professional		$24.92	$30.49	$55.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.94 / $32.35	Professional	26	$7.33	$8.94	$32.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $21.13 / $39.15	Professional	TC	$17.57	$21.13	$39.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.91 / $46.16 / $66.42	Professional		$31.91	$46.16	$66.42
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.99 / $12.24 / $17.62	Professional	26	$8.99	$12.24	$17.62
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.66 / $33.56 / $48.80	Professional	TC	$21.66	$33.56	$48.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $35.90 / $64.20	Professional		$23.32	$35.90	$64.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.66 / $11.06 / $18.39	Professional	26	$7.66	$11.06	$18.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.66 / $24.53 / $44.04	Professional	TC	$15.66	$24.53	$44.04
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $58.48 / $58.48 / $62.33	Professional		$58.48	$58.48	$62.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.09 / $51.21 / $69.54	Professional		$41.09	$51.21	$69.54
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $11.08 / $13.80 / $18.73	Professional	26	$11.08	$13.80	$18.73
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $30.02 / $37.40 / $50.80	Professional	TC	$30.02	$37.40	$50.80
United Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $49.67 / $73.11	Professional		$26.69	$49.67	$73.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.59 / $14.40 / $23.45	Professional	26	$8.59	$14.40	$23.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.47 / $35.11 / $69.97	Professional	TC	$18.47	$35.11	$69.97