Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.63 / $12.26 / $14.81	Facility	26	$9.63	$12.26	$14.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.55 / $34.42 / $55.96	Professional		$27.55	$34.42	$55.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.98 / $9.63 / $17.03	Professional	26	$7.98	$9.63	$17.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.57 / $24.54 / $41.46	Professional	TC	$19.57	$24.54	$41.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.83 / $49.46 / $71.16	Professional		$33.83	$49.46	$71.16
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.11 / $13.20 / $18.97	Professional	26	$10.11	$13.20	$18.97
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.75 / $35.79 / $51.51	Professional	TC	$25.75	$35.79	$51.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $40.71 / $69.30	Professional		$27.52	$40.71	$69.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.50 / $12.63 / $21.89	Professional	26	$8.50	$12.63	$21.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.55 / $28.09 / $46.50	Professional	TC	$18.55	$28.09	$46.50
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $62.20 / $62.20 / $66.27	Professional		$62.20	$62.20	$66.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.71 / $54.46 / $73.95	Professional		$43.71	$54.46	$73.95
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $11.92 / $14.86 / $20.17	Professional	26	$11.92	$14.86	$20.17
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $31.79 / $39.61 / $53.79	Professional	TC	$31.79	$39.61	$53.79
United Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $53.12 / $78.19	Professional		$32.34	$53.12	$78.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.94 / $16.75 / $25.30	Professional	26	$9.94	$16.75	$25.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.36 / $35.86 / $56.82	Professional	TC	$22.36	$35.86	$56.82