Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.09 / $15.79 / $20.14	Facility	26	$13.09	$15.79	$20.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.79 / $43.47 / $71.72	Professional		$26.79	$43.47	$71.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.50 / $13.10 / $26.03	Professional	26	$11.50	$13.10	$26.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.01 / $30.07 / $52.25	Professional	TC	$24.01	$30.07	$52.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.73 / $62.18 / $89.46	Professional		$44.73	$62.18	$89.46
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.73 / $18.03 / $25.88	Professional	26	$13.73	$18.03	$25.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.29 / $43.81 / $63.03	Professional	TC	$30.29	$43.81	$63.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $51.38 / $87.31	Professional		$33.65	$51.38	$87.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.56 / $17.01 / $28.91	Professional	26	$11.56	$17.01	$28.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.78 / $32.58 / $55.89	Professional	TC	$21.78	$32.58	$55.89
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 $16.22 / $20.22 / $27.46	Professional	26	$16.22	$20.22	$27.46
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $38.86 / $48.44 / $65.78	Professional	TC	$38.86	$48.44	$65.78
United Facility/Professional Professional Modifier Low / Median / High Price $38.95 / $66.30 / $98.89	Professional		$38.95	$66.30	$98.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.93 / $22.21 / $44.29	Professional	26	$12.93	$22.21	$44.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.61 / $42.60 / $63.36	Professional	TC	$25.61	$42.60	$63.36