Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.14 / $14.14 / $18.02	Facility	26	$14.14	$14.14	$18.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.24 / $45.02 / $73.26	Professional		$36.24	$45.02	$73.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.50 / $13.40 / $25.74	Professional	26	$11.50	$13.40	$25.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.67 / $30.27 / $51.90	Professional	TC	$23.67	$30.27	$51.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.42 / $64.54 / $92.85	Professional		$46.42	$64.54	$92.85
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.42 / $19.30 / $27.78	Professional	26	$14.42	$19.30	$27.78
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.91 / $44.43 / $64.39	Professional	TC	$31.91	$44.43	$64.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $53.61 / $91.88	Professional		$34.61	$53.61	$91.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.87 / $17.46 / $31.10	Professional	26	$11.87	$17.46	$31.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.75 / $34.69 / $57.34	Professional	TC	$22.75	$34.69	$57.34
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $81.48 / $81.48 / $86.78	Professional		$81.48	$81.48	$86.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.27 / $71.36 / $96.91	Professional		$57.27	$71.36	$96.91
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $17.51 / $21.82 / $29.63	Professional	26	$17.51	$21.82	$29.63
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $39.75 / $49.54 / $67.28	Professional	TC	$39.75	$49.54	$67.28
United Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $69.00 / $104.06	Professional		$40.39	$69.00	$104.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.34 / $24.26 / $36.13	Professional	26	$13.34	$24.26	$36.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.05 / $44.90 / $65.00	Professional	TC	$27.05	$44.90	$65.00