Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.90 / $7.90 / $10.06	Facility	26	$7.90	$7.90	$10.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $25.71 / $40.61	Professional		$19.89	$25.71	$40.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.55 / $7.89 / $15.88	Professional	26	$6.55	$7.89	$15.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.60 / $17.80 / $28.72	Professional	TC	$13.60	$17.80	$28.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.75 / $35.79 / $51.51	Professional		$25.75	$35.79	$51.51
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $10.91 / $15.58	Professional	26	$7.95	$10.91	$15.58
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.73 / $24.96 / $35.92	Professional	TC	$17.73	$24.96	$35.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $29.95 / $50.95	Professional		$20.42	$29.95	$50.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.97 / $9.82 / $16.75	Professional	26	$6.97	$9.82	$16.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.41 / $19.20 / $33.06	Professional	TC	$13.41	$19.20	$33.06
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $45.31 / $48.06	Professional		$45.31	$45.31	$48.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $39.67 / $53.88	Professional		$31.84	$39.67	$53.88
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.78 / $12.20 / $16.57	Professional	26	$9.78	$12.20	$16.57
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $22.05 / $27.48 / $37.31	Professional	TC	$22.05	$27.48	$37.31
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $39.36 / $61.35	Professional		$23.44	$39.36	$61.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.88 / $13.28 / $19.78	Professional	26	$7.88	$13.28	$19.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.51 / $25.19 / $35.45	Professional	TC	$15.51	$25.19	$35.45