Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.46 / $13.46 / $17.14	Facility	26	$13.46	$13.46	$17.14
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $31.03 / $38.70 / $716.80	Facility	TC	$31.03	$38.70	$716.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $39.65 / $70.51	Professional		$32.40	$39.65	$70.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.15 / $13.17 / $20.35	Professional	26	$11.15	$13.17	$20.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.72 / $26.73 / $50.15	Professional	TC	$21.72	$26.73	$50.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.33 / $62.18 / $89.46	Professional		$44.33	$62.18	$89.46
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.79 / $18.50 / $26.43	Professional	26	$13.79	$18.50	$26.43
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.61 / $43.34 / $62.35	Professional	TC	$30.61	$43.34	$62.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.26 / $49.35 / $83.52	Professional		$35.26	$49.35	$83.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.87 / $17.55 / $29.50	Professional	26	$11.87	$17.55	$29.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.43 / $31.99 / $55.75	Professional	TC	$22.43	$31.99	$55.75
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $78.40 / $78.40 / $83.53	Professional		$78.40	$78.40	$83.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $68.66 / $93.24	Professional		$55.09	$68.66	$93.24
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $16.67 / $20.77 / $25.64	Professional	26	$16.67	$20.77	$25.64
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $38.43 / $47.89 / $59.12	Professional	TC	$38.43	$47.89	$59.12
United Facility/Professional Professional Modifier Low / Median / High Price $39.67 / $66.00 / $98.69	Professional		$39.67	$66.00	$98.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.36 / $23.07 / $45.45	Professional	26	$14.36	$23.07	$45.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.24 / $44.46 / $63.70	Professional	TC	$25.24	$44.46	$63.70