Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.81 / $15.81 / $23.90	Facility	26	$15.81	$15.81	$23.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $53.00 / $87.85	Professional		$43.79	$53.00	$87.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.58 / $15.81 / $26.85	Professional	26	$13.58	$15.81	$26.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.92 / $39.20 / $69.81	Professional	TC	$30.92	$39.20	$69.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $77.26 / $111.15	Professional		$55.57	$77.26	$111.15
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.35 / $21.82 / $31.33	Professional	26	$16.35	$21.82	$31.33
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.56 / $55.11 / $79.30	Professional	TC	$39.56	$55.11	$79.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.29 / $64.95 / $108.80	Professional		$44.29	$64.95	$108.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.94 / $20.42 / $35.01	Professional	26	$13.94	$20.42	$35.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.15 / $42.77 / $71.15	Professional	TC	$30.15	$42.77	$71.15
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $97.66 / $97.66 / $104.04	Professional		$97.66	$97.66	$104.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.63 / $85.52 / $116.14	Professional		$68.63	$85.52	$116.14
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $19.57 / $24.40 / $33.13	Professional	26	$19.57	$24.40	$33.13
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $49.05 / $61.12 / $83.01	Professional	TC	$49.05	$61.12	$83.01
United Facility/Professional Professional Modifier Low / Median / High Price $51.58 / $83.15 / $129.93	Professional		$51.58	$83.15	$129.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.87 / $26.56 / $41.50	Professional	26	$15.87	$26.56	$41.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.29 / $56.40 / $78.73	Professional	TC	$35.29	$56.40	$78.73