Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.18 / $15.18 / $19.80	Facility	26	$15.18	$15.18	$19.80
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $33.17 / $40.06 / $239.23	Facility	TC	$33.17	$40.06	$239.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.70 / $42.54 / $76.59	Professional		$34.70	$42.54	$76.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.55 / $15.17 / $22.96	Professional	26	$12.55	$15.17	$22.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.20 / $28.35 / $53.64	Professional	TC	$23.20	$28.35	$53.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $67.83 / $97.60	Professional		$48.45	$67.83	$97.60
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.55 / $21.35 / $30.50	Professional	26	$15.55	$21.35	$30.50
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.24 / $46.63 / $67.09	Professional	TC	$33.24	$46.63	$67.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.85 / $52.96 / $90.04	Professional		$37.85	$52.96	$90.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.08 / $19.80 / $33.95	Professional	26	$13.08	$19.80	$33.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.07 / $33.57 / $58.09	Professional	TC	$23.07	$33.57	$58.09
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $85.23 / $85.23 / $90.72	Professional		$85.23	$85.23	$90.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.89 / $74.63 / $101.35	Professional		$59.89	$74.63	$101.35
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $18.80 / $23.43 / $28.92	Professional	26	$18.80	$23.43	$28.92
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $41.08 / $51.19 / $63.20	Professional	TC	$41.08	$51.19	$63.20
United Facility/Professional Professional Modifier Low / Median / High Price $42.35 / $72.75 / $108.35	Professional		$42.35	$72.75	$108.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.48 / $25.76 / $41.50	Professional	26	$16.48	$25.76	$41.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.97 / $46.06 / $65.52	Professional	TC	$25.97	$46.06	$65.52