Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.46 / $17.14 / $24.33	Facility	26	$13.46	$17.14	$24.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.71 / $58.43 / $139.13	Professional		$47.71	$58.43	$139.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.36 / $18.17 / $45.62	Professional	26	$12.36	$18.17	$45.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.39 / $42.47 / $71.01	Professional	TC	$33.39	$42.47	$71.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.25 / $78.20 / $112.51	Professional		$56.25	$78.20	$112.51
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.73 / $18.76 / $26.43	Professional	26	$13.73	$18.76	$26.43
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.63 / $59.39 / $86.08	Professional	TC	$39.63	$59.39	$86.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.50 / $65.26 / $109.44	Professional		$44.50	$65.26	$109.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.04 / $18.64 / $33.34	Professional	26	$12.04	$18.64	$33.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.48 / $44.17 / $75.30	Professional	TC	$30.48	$44.17	$75.30
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $101.08 / $101.08 / $108.28	Professional		$101.08	$101.08	$108.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.03 / $88.52 / $120.21	Professional		$71.03	$88.52	$120.21
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $16.67 / $20.77 / $28.20	Professional	26	$16.67	$20.77	$28.20
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $54.37 / $67.75 / $92.00	Professional	TC	$54.37	$67.75	$92.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.58 / $82.00 / $133.94	Professional		$51.58	$82.00	$133.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.40 / $23.92 / $45.46	Professional	26	$14.40	$23.92	$45.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.07 / $59.49 / $87.57	Professional	TC	$36.07	$59.49	$87.57